HomeMy WebLinkAboutHomestead_Stevens (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:1 REPARER,,. _
Becky King Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd.,Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 becks.kingaregionaltiilellc.com
City,State,and ZIP Code Telephone Number E-mail
RPtty J Miller
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
234 W Makemson Ave
Address(Number and Street) Address(Number and Street) i
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and/complete as quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of IlerCJ Signature of Seller
Betty.1 Miller 12/30/2015
Printed Name opener Sian Date(MM/DD/YYn) Printed Nome of Seller Sign Dote(MM/DD/M7)
E BUYER(S)/GRANTEE(Sf=APPLACATION F.OR.P:ROPERTYTA), DEDUGTIONSFIIDENTIFY;ALli:ITEMS THAT.AP.PLY _ __ _-__
Jeffery Stevens
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document qa '
2130 Address s(Nu Court.d ADt. 16
Addrea(Number and Street) Address(Number and Street) -+C
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TFLA17kill;1, y',
YES NO CONDrnoN I YES NO CONDITION OUNT7'
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead AVO/TOR
residence? Provide complete address of primary ❑ a 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
234 W Makemson Ave
Address(Number and Street) ❑ NI 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ Ed 7.Geothermal Energy Heating/Cooling Device
City,State ZIP a County
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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)
Ao-
CCity,State ZIP Code County /07 �tl - /Dd- 6O7 �d,- 6OZ 1
Primary property owner contact name E-mail
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