HomeMy WebLinkAboutHomestead_Edrington INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Kim Loesch Processor
Preparer of the Sala Disclosure Form Title
4962 Lincoln Avenue First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (812)490-8485
City,State,and ZIP Code Telephone Number E-mail
;E.ssilERgsvGRANTOR(s)-r 17-:.- --_ ' - _-. '--' .• .. -' -- _'t 111:z .._
Stanley.1 Burton •
•her I- me as pea Op cony armee dment Seller 2-Name as appears on conveyance document
•d,. as(Number and Street) j� �` Address(Number and Street)
,
Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comet'ete as re d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig'
ignature o', Signature of Seller ��3LLL.J!/ ILL!
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Stanley.1 Burton b I \ `99
Printed Name of Seller Sian Dot (MM D/1 111) Printed Name of Seller -ILEA g 9q�� Stan DlHH/DD/YYYI)
IF:BUYER(5)/,GRAN.TEgs)s APPLICATION-FOR PROPERTY TAX DEDUCTIONS-IDENTIFY-ALL'ITEi c FFPP'L'Y - Date IM
Jeremy Edrineton
Buyer]-Name appearion conveyancefd�ocument l Buyer 2-Name as appears on conveyor e�s
IQUS - Lk JCl X (—Q. \-1 \\-k - GIBSON COUNTY
`ry{/rTs(Numb nd Street) �( Address(Number and Street)
V- A' �Cl i��'\\, \ !�( k''1 (i`k R
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION - - NO CONDITION
j5 ❑ 1.Will this property be the buyer's primary 13j ❑ 3.Homestead
residence? Provide complete address of primary a El . o ar nergy Heating/Cooling System
reside�ce,includi g c unty:
OS , V(\1 G ❑ 5 S.Wind Power Device
A 1 ess(Nu be dStreet) / ❑ 0 6.Hydroelectric Power Device
`-a k N - c3N Cc-i14 , ' ra\❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s 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)
(PO4 —S-303 — 000. 761-tbio State ZIP Code County
Primary property owner contact name E-mail