HomeMy WebLinkAboutHomestead_Vigoreaux Li
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.P.REPARER
LANA C.HARPER CLOSER
Preparer of the Saks Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES.LLC
Address(Number and Street) Company
EVANSVILLE,IN 47708 812468-8485
City,State and ZIP Code Telephone Number
E-mail
--_--- __ -- --_..c- --_ _- __— r
E:SELLER{S)/GRANTOR(S). - ,
FRIFDA F SMITH
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
/Vol C- ed. /O Sco Al
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".
St re of Sel r c r Signature of Seller
rICI L,Sill a (D-7-/to
Printed Name of Seller Sian Date DIM/00/1,11T) Printed Name of Seller Sian Date(MM/oD/rrm
F.BUYER(S)%GRANTEE(S)=-APPLICATION'FOR PROPERTY TA%DEDUCTIONS-IDENTIFY ALL ITEMS THAT_APPLY
DANNY RIVERA VIGOREAUX NITZA AGNES MIRAND VTp �{'�
Buyer II-Name es appears on nveyanc�e docu/ment Buyer 2-Name as appears on co ntd1iar e t E n It
AvesnmbergnStreet) /IV
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL t6 MO gran ' Y AUDITOR
YES NO CONDITION YES NO CONDITION
is ❑ 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
A I re i en�,lincicounty: ❑
/v -� S.Wind Power Device
ress(A'( and Street) I t I (11 76 (9l rl_ ❑ 0 6.Hydroelectric Power Device
rinrp, � '�J
City,State ZIP Code County ❑ 7.Geothermal Energy Heating/Cooling Device
v '(�j ❑ is 8.Is this property a residential rental property?
�l 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ ri 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)
City,State ZIP Code County
r96- I2-D?- )09-DO2 99.3-Dae
Primary property owner contact name E-mail