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HomeMy WebLinkAboutHomestead_Selby INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.P.REPARER; • Lynette Murray Processor Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteamcaWfirstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) • - • _ .. Stanley.I May r I isa A May 511er I-Na,ne as a•;ars on co ,••�rrcedocume\ 7 Seller ame as appears conveyance document _ UU rit Cdr Numb a�, , tyreet) 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 comppll• e as re.uired by law,and is prepared in accordance with IC(y)1.1-5.5,/"Real Property Sales Disclosure Act". Suture of Seller/ �)� ' ( rn Si mture of Seller ���� Stanley.1 May - '1 I 14J I isa A May Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MA1/DD/1'YYYI F.BUYER(S)/GRANTEES)---APPLIGATION-FOR PROPERTY„TAX DEDUCTIONS–IDENTIFY ALL ITEMS THAT APPLY -'. i Thomas D Selby Carvn M Selby Buy I-Name asap on conveyance document B 2-Name as appears on conveyance document -&7 L xoszk I c a r,Ta a (Number and/Street) Address(Number and Street) 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 v Er 1.Will this property be the buyer's primary Er ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy ti gioiE iI” �esidIence,includingcounty: ����jj r+ �� `' '>F , ❑ 5.4Vind PowerJllevi 1-ess(Numbei�r ofp�}Streel) 1\ [� /, Q, ❑ 0 6. Hydroelectric Power Deve nig (11 -- "1�FC`I->c tl `l l-'t 7 \-11 k\Qf�. ❑ ❑ 7.Geothermal Enereea'inng/Cooling Device City,State ZIP Code Count• 0 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a//r�� idenC I r 4 property? ❑ vacated for this residence? If yes,provide ❑ 0 9 1.Vould you like t�T�Pi eme s for this complete address of residence being vacated, property vGTIS$QH?QMt1gXL4WMIl ormotion including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) di° — 1R— I$- Ib1 — bO i (. - oa(Q city,State ZIP Cafe County Primary property owner contact name E-mail