HomeMy WebLinkAboutHomestead_Osmer (2) INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
D,PREPARERk - • r a '.' 7, ,
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINAt REGIONAL-LT.COM
City,State and ZIP Code Telephone Number E-mail
('E.SELLER(S)%GRANTOR(S)x .€ _i,'r. __:T.TC. ••, i.._ , e .57' - - a _'-. ,._ i.,-rw7 •-.-^..,
Stephen.1 Sevier
Seller I-Name as appears on conveyance ocument Seller 2-Name as appears on conveyance document
— i/Sri 5K G57, I.E
Address( um6>
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comple • • •q ' ed b •w,and is prepared in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act".
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Signature of/ler Signature of Seller
Stephen.1 Sevier X )_.2 /d
Printed Name of Seller Sion Date(MM/DD/YYYY) Printed Name of Seller Sion Date(MM/DD/YYYYI
_-F:BItyER� LS R}NTEE(S)a APP.L'IGATION)EOR P.ROP.ER71tTAXtDED.UCT10N5 .IDENTIFY/ALLrITEMS'<THATFAPPGY�_____ "'7,7, -
James Michael Osmer , Connie Lou Osmer
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Address(Number and Street) Address(Number and Street) _
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THE SAL DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPAL/ 4 LUIb
YES NO CONDITION I YES O CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead Ng
residence? Provide complete address of primary ❑ 4 4.Solar Energy Hera firePb6lllWS}Ts'feftUDITOR
residence,including county: ❑
5.Wind Power Device
4818 South State Road 57
Address(Number and Street) ❑ fl 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade County
❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 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)
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City,State ZIP Code County
Primary property owner contact name E-mail