HomeMy WebLinkAboutHomestead_Davis Jr INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Faun Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812) 425-0055 teresa @swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Theresa E.Thompson
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1808 Taylor Ave
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 .
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".
Signature of Seller Signature of Seller
Theresa E.Thompson 6/30/2016 6/30/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Se+ a ,, ' Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDEN FY L)pS_1kAh__g1S—I11,'t9AiL6.IrM'PLY
Richard A. Davis Jr. f� ��
Buyer I-Name as appears on conveyance document Buyer 2-Name as appear 3 vey ocumenf
4938 E State Rd 64 l,
- Address(Number and Street) Address(Number and StCgefL '
Francisco, IN 47649 •
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y N ITIO
O ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary 0 El 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
1808 Taylor Ave.
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
Princeton„IN 47670 I Gibson ❑ El 7. Geothermal Energy Heating/Cooling Device
City, Sta e ZIP Code County ❑ 0 8. Is this property a residential rental property?
O 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.) O
Address(Number and Street) C--0 8 -9‘03_ 'O/1
a�- I C'b0. 00fi-0 v�CJ
City,State ZIP Code County Primary property owner contact name E-mail