HomeMy WebLinkAboutHomestead_Young Jr INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
Rocksan Underhill 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 (812)425-0055 rocksan @swinland.com
City, State, and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Patricia G. Robinson
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1066 W 550 S
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
Under penalties of per I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co p re Ireed and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Patricia G. Robinson 3/15/2016 3/15/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller �''1 gg 5' D/YYYY)
/F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITE T"A P '
Michael Young, Jr. Emily Young
euyerl-Name as appears on conveyance document Buyer 2-Name as appears on conveyanc%�dpsurpel1 2016
729 E Missouri St 729 E Missouri St IYIHR fi 1
Address(Number and Street) Address(Number and Street)
Evansville, IN 47711 Evansville, IN Evansville, IN 47711 -
. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YE,S, NO CONDITION • S NO CONDIT • •
�alC f� ❑ 1. Will this property be the buyers primary �' ❑ 3. Homestead
residence? Provide complete address of primary s- p 4. Solar Energy Heating/Cooling System
residence, including county:
1066 W 550 S ❑ 0 5. Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
'Fort Branch, IN 47648 I Gibson' ❑ a 7. Geothermal Energy Heating/Cooling Device
City, St to ZIP Code County ❑ El 8. Is this property a residential rental property?
❑ . Does the buyer have a homestead in Indiana to be ❑ 0 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: •- • • - • ' " • ctions for more information.
Not available in all counties.
Address(Number and Street
AA -le-01 •-• 300 - 0044 . 10y.-0A6.-
City,State ZIP Code County Primary property owner contact name E-mail