Homestead_Perry (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Tide
501 Main Street Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closing.depteieffbosse.com
City.State,and ZIP Code Telephone Number E-mail
`E,SELLERS)/GRANTOR(S)`.
Margaret Tyring
Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document
(Poi Pest'/{ Counhj U ne R k S .
Address(Number(did Street) Address(Number and Street)
evcows; Lem ie
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
0
omplete as requi • . b, law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
G
attire of Seller I Signature of Seller
• -lefiifpr Sr .- eras Guardian 7 2_r 1 f0
Printed Name of Seller Sian Date(ALN/DD/Yrm Printed Name of Seller ° N/DD/YYYn
:F..BUYER(S)/GRANTEE(S) -'APPLICATION FOR PROPERTY TAX DEDUCTIONS_•IDENTIFY ALCITEM A jJJPLY 1_ .
Jeffery Perry Darlene Perry kkk ���111 Yl
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance docume 4 2 2016
9364 S State Road 61 9364 S State Road 61 /-1
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland Cit IN 47..0
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Y�ES,/ NO CONDITION YES NO CONDITION
LS ❑ 1.Will this property be the buyer's primary FEY ❑ 3. Homestead
residence? Provide complete address of primary ❑ NI 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ NI 6. Hydroelectric Power Device
City,State Zl Code County LI ETA 7.Geothermal Energy Heating/Cooling Device
❑ d 2. Does the buyer have a homestead in Indiana to be ❑ I n 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)
City.State ZIP Code County _a6-13 - a6- 4oD- Dal. IS / - DOb -
Primary property owner contact name E-mail