HomeMy WebLinkAboutHomestead_Runau 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-SSELLER(S)T/GRANTOR(S) ,
Estate of Judith Faye McIntosh
Seller 1-Name as appears on conveyance document • Seller 2-Name as appears on conveyance document
219 W Washington St
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 ,
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge MAYb®i4f,2Qf(yue, correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
'41,-- �.e.da-%y Y:1 /-&-4--c✓ feitze-c.--- -'L X! T
`Sighature.ofSellIL _J i Signature of Seller GIBSON COUNTY AUDITOR
Homer Leslie McIntosh, 4/27/2016
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 ITEMIT11PL1199FF 11�'D
Kelly J. Runau Joshua L. Green
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
9759E 700 5 9759E 700 S MAY 0 4 2016
Address(Number and Street) Address(Number and Street)
Oakland
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
r ❑ 1. Will this property be the buyers primary (B 0(3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
219 W Washington St.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Oakland City, IN 47660 I 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- )4-18-3oa-oao. s ) -do?
City, State ZIP Code County Primary property owner contact name E-mail
--