HomeMy WebLinkAboutHomestead_Kuester INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
Rocksan Underhill Escrow Officer
Preparer of the Sales Disclosure Fonn Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 rocksan @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Karan A.Thacker
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
704 E Haub St .
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
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, "Real Property Sales Disclosure Act".
liOki of YT
Signature of Seller Signature of Seller
Karan A.Thacker
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 ITEMSFAIA PLYE 1,
arrialh
yer -Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
205 W Walnut St MAY 18 2016
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47648 '
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YE NO CONDITION
X YES 1)1H9
❑ 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary `/gD 4. Solar Energy Heating/Cooling System
residence, including county:
704 E Haub St. ❑ j70 5. Wind Power Device
Address(Number and Street) ❑ 6. Hydroelectric Power Device
Haubstadt, IN 47639 i Gibson' ❑ 7. Geothermal Energy Heating/Cooling Device
City
X State ZIP Code County ❑ 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 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: b- • , - -. - -- 'r ctions for more information.
) S W-0 at-- W a I n� T--J C -reE Not available in all counties.)
Address(Number and Street) I
a L t. I —71—Ai CO - , g2 ) —l9- .3f - l{00 -000* ?h,3 -00 9
City,State ZIP Code County primary property owner contact name E-• -il