HomeMy WebLinkAboutHomestead_Farris (6) INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
E-mail
E. SELLER(S)I GRANTOR(S)
Susan J. Williams
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
306 S Stout St.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
n complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
1.vp�
Signature of Seller Signature of Seller
Susan J.Williams 1/22/2016 1/22/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Stephan e 1 Farris y� um D
Buyer t -Name as appears on conveyance document Buyer 2-Name as appears on c ce ocum
1.017 S Adams St
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 JAN 2 7 2016
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL � CJSE'TFr.4rAPPL'Y.`
YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary 121 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
306 S Stout St.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, Sta e ZIP Code County ❑ 0 8. Is this property a residential rental property?
0 2. Does the buyer have a homestead in Indiana to be ❑ 121 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
fo- 1 ;.0-yoa- o50-301- Oai
City,State ZIP Code County unary property owner conttict name E-mail