HomeMy WebLinkAboutHomestead_Croak INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:.PREPARERt -- _ — ---- - - - — —
Becky King Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 beckv.kingOregionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)%GRANTOR(S)_ _
James D Woomer Sally L Woomer
Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
501 F Warrick St 501 F Warrick St
Address(Number and Street) Address(Number and Street)
Under nalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c m lete as required by law,and is prepared in accordance with-11- R I Pro Sales Disclosure Act".
Sig re of Seller Signature of Seller
James D Woomer 10/19/2015 Sally L Woomer 10/19/2015
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(M.M/DD/MT)
(F..BUYER(S)%GRANTEE(S)=APBLICATION_FOR RROPERT,Y TAX.DEDUCTI ONS-IDENTIF_Y ALL ITEMS_THATppAP.PLiY_. -__
Hunter Croak
Li' I
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on c veyonldojb dt1 1
4903 N County Rd.500
Address(Number and Street) Address(Number and Street) OCT 21 2015
Petersburg, IN 47567
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
Fl ❑ 1.Will this property be the buyer's primary ig ❑ 3.Homestead
residence? Provide complete address of primary ❑ ig 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0
501E Warrick St S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson
City,State ZIP Code County NI 7.Geothermal Energy Heating/Cooling Device
❑ Fl 2.Does the buyer have a homestead in Indiana to be ❑ 0 B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Fl 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) —/, ) 2 /O3'—� a,3- `�
City,State ZIP Code County (/"�(/(J_ (//w-.,[
Primaryproperryowner canted name E-mail