HomeMy WebLinkAboutHomestead_Schmidt (3) INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
• D. PREPARER
Kathy Masterson 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 kathy@swinland.com
.-_City,State,.and.ZlP_Code Telephone Number E-mail
-E.–SELLER(S)1 GRANTORS)
Daniel L. Hudson Carol A. Hudson
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2160 W 1300 S 2160 W 1300 S
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and corn fete as re uired y law and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signatureo Seller --Signature of Seller So
Daniel L. Hudson 9/1/2016 Carol A. Hudson 9/1/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
'F.–BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX
SEP 6 2016
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville, IN 47665
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES Nn CONDIION
❑ 1. Will this property be the buyer's primary ❑ 3. Homestea
residence? Provide complete address of primary ❑ El 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 5 5. Wind Power Device
2160 W 1300 S ❑ a 6. Hydroelectric Power Device
Address(Number and Street)
Haubstadt, IN 47639 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 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.
Address(Number and Street)
.46,- 01. X- 1 'f - 30o -000. 04p-04
City State ZIP Code County Primary property owner contact name E all