HomeMy WebLinkAboutHomestead_Folz INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER ` -
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Tide
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE, IN 47708 812-468-8485
Ciry,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . u - '
PERRY DEWFFSE
Seller 1-Nome as gp,+mrs okconve)1 ument Seiler Name as appears on conveyancedocument
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vat∎s and Street) ( I • LIT-1-1 I I Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an�apmpl�s�qu d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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• ature af-jel r Signature of Seller
exc� Defer. 3 -8-1tP
Printed Name)Seller Sion Date(MM/DO/YYYY) Printed Names Seller mpne i7D
F.BUE.1 1.(c)ar .ALreE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEIEHTT PP 17 '�
K6el-rK^.h,.' I"L BETHANY FOLZ
tB" f .- nee document Buyer?-Name as appears on conveyance dacum1la" 1 C'2018
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Address(Number and Street) Address(Number and Street)
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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 5n CONDITION
0 ❑ 1.Will this property be the buyer's primary NI ❑ 3.Homestead
residence? Provide complete address of primary • Ur •. oar nergy Heating/Cooling System
' I res dente,include inng county: ❑
�b`i /0. �,� �}- S.Wind Power Device
�ddress Numbe/,and str ) �t/ �`� //�) ❑ Q 6.Hydroelectric Power Device
r �7L31 �� 1 (0 l ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,Stag&Code County
2.Does the buyer have a homestead in Indiana to be ❑ 0 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.
•• 'vat a e e m a counties.
Address(Number and Street)
02 4,A-.08' /o3 - Oo3. o3Y-c7t '
City,State ZIP Code C.unty _--
Pri 7 F 7'^9 E-mail