HomeMy WebLinkAboutHomestead_Evans 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 ZIP Code - - - Telephone Number E-mail
E_ SELLER(S)/-GRANTOR(S)
Melvin August Greulich MichaerCGreulich
Seller 1-Name as appears on conveyance document - - - -Seller® rs
2-Name as appears n conveyance document
405 S Cumberland St 55- D t 54- l bA Aft (�r,
Address(Number and Street) Addr�es/s7�(N�u�m�je�r and Stre t)
Fort Branch, IN 47648 ,A/`
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".
r flu Y A„_Ccu.u•.1...l,31 ,& / AzAJ I,l f.� ,,/ >cl �.,,J 2 ,
Signature of Seller . t ' rtI r • /gnature of•Seller T'd.
Melvin August Greulich 9/9/2016 -_ Michael L. Giulia) - 9/9/2016
Printed Name of Seller - Sign Date(MM/DDNYYY) - Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYERS)/GRANTEE(S) -APPLICATION FOR PR OPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY"Th saac K. Evans lo�
•
s appears on conveyance document Buyer 2-Name as appears n y n ey ce um n En
405 S Cumberland St 1
Address(Number and Street) Address(Number and Street) CEP 12.2016
Fort Branch, IN 47648 ,
COUNTY to Ir11T(1R E-mail
GIBBON
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YEEJ`.—NO-144)
NIl
❑ 1. Will this property be the buyer's primary / Lac. ❑ 3. Homestead
residence? Provide complete address of primary ( ❑ El 4. Solar Energy Heating/Cooling System
residence, including county:
405 S Cumberland St. ❑ • El 5. Wind Power Device
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
•
!Fort Branch, IN 47648 I - Gibson ❑ a 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ El 8. Is this property a residential rental property?
❑ 1/411r, 2. Does the buyer have a homestead in Indiana to be -❑ El 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)
AA - /8 ,tY Rook -voo. a 61 X
City, State ZIP Code County Primary property owner contact name E-mai