HomeMy WebLinkAboutHomestead_Klem (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2016 _ Page 2
D. PREPARER
Kathy Masterson 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 kathy@swinland.com
City,State,and ZIP Code Telephone Number E-mail
-E.,,SELLER(S)/.GRANTOR(S)
Jay Foster
Seller I-Name as a pears on conve a ce document Seller 2-Name as appears on conveyance document
skis .A M � . �96 . S
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 •
Under penalties of p rjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and complete s re ired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
r\,KSig- lure of Seller Signature of Seller
Jay Oster 4/13/2106 4/13/2106
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
Chris R. Klem Tammy Klem
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
403 E Strain St 403 E Strain St
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
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 NO CONDITION
Wt ❑ 1. Will this property be the buyer's primary 6 ❑ 3. Homestea d /
residence? Provide complete address of primary 6
residence,including county: 0 4. Solar Energ e n ooli dy illt
❑ I l 5. Wind Power evice
401 S Willard
(Nu St. ❑ el 6. Hydroelectric Po �K t 2CQ1s
Address(Number and Street)
Fort Branch, IN 47648 1 Gibson ❑ 7. Geothermal Energy Heating ooling Device
ity, State ZIP Code County ❑ ❑ 8. Is this property a t identi;l re LIZ • :.erty?
X 2. Does the buyer have a homestead in Indiana to be ❑ a g. Would y .I' 'li tements for this
vacated for this residence? If yes, provide complete property via- Ttf-I . • • l6 ecalcitabrmation
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
City, State ZIP Code County Pnmary property owner contact name E-mail