HomeMy WebLinkAboutHomestead_Woehler (2) •
INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
•
Kathy Masterson Escrow Officer
?taperer of the Sates 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 kathy@swinland.com
City State, and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Melvin J. Bittner Living Trust
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
503 W Elml St
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
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 required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Printed Name of Seller Sign Date(AMA1/DD/YYYY) Printed Name of Seller. Sign Date(MA1/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Buyer 1 Name as appears on conveyance document Buyer 2-Name as appeals on conveyance document
107 S Eileen St 107 S Eileen St
Address(Number and Street) Address(Number and Street)•
Haubstadt, IN 47639
FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIF ALL T{tl�E ThAy • Et
YES YEE,SS NO CONDITION YES NO CONDITION
9e 1 ❑ 1. 11411 this property be the buyers primary ❑ 3. Homestead APR 0 1 2016
( " residence? Provide complete address of primary
residence, including county: ❑ 0 4. Solar Energy Heating/Cooling System
503 W Elm SL ❑ 0 5. Wind Power Device •
Address(Number and Street) ❑ 0 6. Hydroelectric Yl NTY'AUDITOR
Haubstadt, IN 47639 -1 ❑
Gibson 0 7. Geothermal Energy Heating/Cooling Device
City. State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ 2. 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: below Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
a(o— I ?-310-14011 -eeo (3C8- i
City, State ZIP Code County Primary property owner contact name E-mail