HomeMy WebLinkAboutHomestead_Leveron INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
pPREPARE Z`-Ti;z;r3 ✓# is .5.' zi:A ' ar k 74;17,Fr 7S?":7 z°j
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Servers, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,'and ZIP Code Telephone Number
E-mail
IE S rai1(S)XieANTIAIS) `tyi"' :Trd33<.µ,47777-Cry:: fi 7 L Tr ,1
Janet C Currier Revocable Living Trust
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
429 Fissler Rd
Address(Number and Street) 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,"Real Property Sales Disclosure Act".
ignature of Seller Signature of Seller
Diane L Currier Trustee c--- 3-1 ip
Printed Name ofSeller Sian Date(MM/DD/YYYI) Printed Name of Seller t Date FMM/DD/YYYY)
iRlBUYER(SW.GRANTEE(S) lAP,PCIGATION LEGORROP,ERT(YsTAXbDEDUCTI0NS 1DENTIE ALIIJOEMSOHATtAP, , •Yr x:: "-.-7-:]
Ida erI-Name as Buyer as appears on conveyance document Buyer 2-Name as appears on tonveynn£e document vG
1244 Vail St. Rm 501 'B- 4
Address(Number and Street) Address(Number and Street) 0
Princeton, IN 47670 Iff
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. GO/
YES NO CONDITION YES NO CONDITION TO,p
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
525 S 9th Ave
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Haubstadt. IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,StaIP Code County
5 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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)
Z 6-a3-6 / - a00 0.00 F43 61'9
City,State ZIP Code County
Primary property owner contact name E-mall