HomeMy WebLinkAboutHomestead_Fenwick INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D PREPARER• -: - ".. -- --- - . - -_--
Becky King Closing Services '
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 becky.kinq(aregionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
-E::SEL TT( SyGRANTORU_ -. • , . t_ ., ; . ,.. '.Lic •-" t : , _ -- l
Joanne Marie Nosko
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
404 W Montgomery St
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
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 require by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
CNkIAA-c:
natureofSeller Signature of Seller
Joanne Marie Nosko 11/17/2016
Printed Name o Seller Sian Date .MM/DD Printed Name a Seller Sian Dare LN.N/DDjlit/
`FAY •(S)'/,GR:A\ ` 7.APPLI CATION;FOR(PROP,ERTYsTAXdDEDUCTIONS``IDENTIFl'%r1LL1TEMSTt.•1RP10'` ---r '��'
4
Joshua E. Fenwick
Buyer Name arson to, •ace document
Riche Buyer 2-Name as appears on conveyance a meat
•
• •tsar Ride Dr.
Address(Number and Street) Address(Number and Street) ,{r O -..-'tied)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT1AFn,
Y12 n 1.Will this property be the buyer's primary 0 ❑ 3. Homestead ��n/l0,9 ES NO CONDITION a. NO CONDITION
residence? Provide complete address of primary --. oar Energy Heating/Cooling System
residence,including county: n
5.Wind Power Device
404 W Montgomery St
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ y 2. Does the buyer have a homestead in Indiana to be n 0 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 o -/ 2-/d -01a/- dad' 32� -p��
Primary property owner contact name E-mail