HomeMy WebLinkAboutHomestead_Hoefling (3) INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
' D. PREPARER
Rocksan Underhill Escrow Officer
Preparer of the Sales Disclosure Form 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)
Estate of Betty S Hape
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
436E795S
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
•
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".
Signet re o, eller , Signature of Seller
I+ •• - -,. , t /22/2016 7/22/2016
' Print-•Name of Selle ? )ce SrA.mot:`eign Date(MM/DD/YYYY) Printed Name of Seller In YYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS HA A PLY 4p
,KAlerx—Hoeffing Allison Pfister ! a c
u er 1-N s appears on conveyance document Buyer 2-Name as appears on conveyance ddhJ61er2 7 ZQJ6
377 E 795 S 10655 Greenleaf Dr
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Evansville, IN 47712
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
VitO ❑ 1. Will this property be the buyers primary /Do ❑ 3. Homestead
residence? Provide complete address of pimary • a • - - .' --. Ing/Cooling System
residence, including county:
i ❑ 2') 5. Wind Power Device
436 E 795
Address(Number and Street) ❑ 6. Hydroelectric Power Device
fort Branch, IN 47648 I Gibson ❑ 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 8. Is this property a residential rental property?
❑ r:02. Does the buyer have a homestead in Indiana to be ❑ O�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.
'. a at a. elna cou .
Address(Number and Street) / G g 3
City,State ZIP Code County •roperty owner contact name E-mail
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