HomeMy WebLinkAboutHomestead_Hightshoe INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER .
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
Email-E.SELLERS)/GRANTOR(S)_. _ .
JohnH Wood Carolyn M.Wood
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
208 F Montgomery St 208 F Montgomery St
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Owensville_IN 47665
City,State,and ZIP Code City,State,and ZIP Code
(
E-mail Telephone Number E-mail
Un 1 •r penalties of perju I by certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an I _ pl a as q quired y w and is prepared in accordance wi C 1 (5,"Real Pr erty Sales Disclosure Act".
/�,d 2
Sign re of Seller / Sighatu a of Seller
John H Wood 1/8/2016 • Carolyn M Wood 016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller { Si")... S (MM/DD/YYY11
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT�MS PPLY/ ®® .
Kip Douglas Hightshoe
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docjpierit f 1 c 316
5619 Timber Rail
Address(Number and Street) Address(Number and Street) nl r7 t/.�
San Antonio, TX 78250 GiB507Nw/{UwO'U�N�{I�YyA��(UUl I UR
City,State,and ZIP Code City,State,and ZIP Code
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Telephone Number E-mail Telephone Number E-mail
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
NI ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ TA 4.Solar Energy Heating/Cooling System
residence,including county: ❑
208 E Montgomery St 5.Wind Power Device
Address(Number and Street) ❑ TA 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 12 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)
a6—i g-i a - aoa - 00(0 . 607 y-oaa
City State ZIP Code County
Primary property owner contact name E-mail