Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Weinzapfel
INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2 D. PREPARER Teresa S. Holifield 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 teresa©swinland.com City, State, and ZIP Code Telephone Number E-mail E. SELLER(S)/GRANTOR(S) Lee D. Rexing Chelsea N. Rexing Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document Z1 WI I 2 2cpq W 1 an S ``'A'//ddress(Number and Street) f / ,,2�{ 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 and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "'eal Property Sales Disclosure Act". ,Ae- a A A 1 Al 4 -'1 C. . �� Signature of 1 Signa ure of Seller Lee D. Rexing 4/22/2016 Chelsea N. Rexing 4/12/2016 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Si te�, D/YYYY),, D/YYYY) F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL IT S P Y .nttany Lynn Weinzapfel Ryan Matthew Weinzapfel pd uet 2016 :. ... . • .nveyance document Buyer 2-Name as appears on conveyan 2 11672 S 250 W 11672 S 250 W Address(Number and Street) Address(Number and Street) H THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION . NO • • 0 El 1. Will this property be the buyer's primary _ 0 ❑ 3. Homestead residence? Provide complete address of prima ❑ p 4. oar nergy Heating/Cooling System residence, including county: ❑ 0 5. Wind Power Device 269 W 1200 S Address(Number and Street) El RI 6. Hydroelectric Power Device Haubstadt, IN 47639 Gibsori ❑ a 7. Geothermal Energy Heating/Cooling Device City, State ZIP Code County ❑ RI 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: : • •• - -• - • -- • a lions for more information. Not available in all counties.) Address(Number and Street) A$43 -18- /oo •ooA SY7 - o)- Ciry,State ZIP Code County P-:--• •ro.erty owner contact name E-ma'