HomeMy WebLinkAboutHomestead_Bolton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Becky King Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 becks.kinuereclionaltitlellc.com
City.State,and ZIP Code Telephone Number E-mail
L"E SELLBR(SJ'/.GRANTOR(S)L 753 . .F Y <' r t .;-ti e 7.3-471F __-',;;77--2' rI . .,Y� ,
Nicholas W Ivy Fli7abeth A Ivy
Seller I-Name as appears on conveyance document Seller 2-Nome as appears an conveyance document
702 Kennedy Dr 702 Kennedy Dr
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort Branch IN 47648
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complet as required by law,and is prepared in accordance i� IC 6-1.1- .5,"Re.1 Prop- S. es r isclosure Act".
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Signature of Seller Signature of SClfer
Nicholas W Ivy 04/26/2016 Elizabeth A Ivy 04/26/2016
Printed Name of Seller Sian Date(MM/DDfYYYY( Printed Name of Seller Sign Date(MM/DD/YYYY)
jF B .: :ana:falfia .,,)1=_,APPLICATf ON;F.OR)P,ROPERTiYLTAX<DEDUCTIONS IDENTIF,Y(ALLJTEMSiTHAT,APPC\%F
Jason N. Boltol
Mme as appears on conveyance document Buyer 2-Name as appears on conveyance document
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2130 Vine Ct..Apt 20
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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THE S LES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATC*1 011,.Y. 'ee
Y NO CONDITION I Y OO4/ 46
❑ 1.Will this property be the bu buyer's primary 3.Homeste,• �U I�
Y 0 ❑ N7.'�lj,
residence? Provide complete address of prima
• —in 4.Solar Energy Heating/Cooling Systeq&
residence,including county: 0/�,
❑ TA 5.Wind Power Device p
702 Kennedy Dr 6,
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Fort Branc IN 47648 Gibson n 0 7.Geothermal Energy Heating/Cooling Device
City,State Code County
❑ 2.Does the buyer have a homestead in Indiana to be El 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ TA 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)
d6-/f-/S-/a/-66//a? 7 and
City,State ZIP Code County
Primary property owner Contact name E-mail