HomeMy WebLinkAboutHomestead_King INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CIREPAR RE - r. -,._
Becky King Closing Services
Preporer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) .Company
Evansville, IN 47715 812-759-5555 becky.king(@regionaltitlellc.com
City,State,and ZIP Code Telephone Number — E-mail
IE.;SEL`LER(S)7..GRANTC!R(S)Yj<t -7-7:T .. T":` . 1. _`-"- -7910- .'n. . ..T' .,_p-1
Wanda L Smith
Seller]-Name as appears an conveyance document Seller 2-Name as appears an conveyance document
105 S Scott St
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a dc m lete as required by law,and is-prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
, 0/(A-11-i•- --
ignature of Seller Signature of Seller
Wanda I Smith 04/05/2016
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(M14/DD/YYYY)
F BUYER(S)1/-GRANT,EE[S)F e-TO CATION!F,ORPWI ftilTiligAMDEDUGTIONSEIIDM IIIESIALL4ITEMni-iti tAFP Tic- - ,- 7TI
-
Justin L King
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
PO Box 374
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS HAT!P';
YES NO CONDITION YES NO CONDITION
is ❑ 1.Will this property be the buyer's primary 12 ❑ 3. Homestead APR 6 2016
residence? Provide complete address of primary ❑ NI 4.Solar Energy Heatin /Cooling System
residence,including county: ❑ IN
105 S Scott St 5.Wind Power Devi
Address(Number and Street) ❑ Q 6. HydroelectqtErtOirCntiftiTY AUDITOR
Owensville, IN 47665 Gibson
❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Q 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 ❑ 51 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)
at0 -1 g- o']- lot- Doc. sc . oaa
City,State ZIP Code County
Primary property owner contact name E-mail