Loading...
HomeMy WebLinkAboutHomestead_RamseyH.PREPARER Preparer of the Sales Disclosure Form Title SOLIDIFI TITLE AND CLOSING LLC TITLE COMPANY Company Email Address _I Telephone Number SOLIDIFI TITLE AND CLOSING LLC CURATIVE@SOLIDIFITITLE.C( '(716 ) 210-9093 Address (number and street, city, state, country, and ZIP Code) 88 SILVA LN, SUTE 210, MIDDLETOWN, RI 02842 1. SELLER(S)/GRANTOR(S) Seller 1, — Name as it appears on conveyance document Seder 2 - Name as appear ve anceEn TIMOTHY L. RAMSEY AL Address (number and street) Address (number a.A street) IL 202 N Main St City, State, and ZIP Code City, State, and ZIP Code A UU0 ? 2026 Owensville, IN 47665 Country - Country - USA Email Address Telephone Number Email Address SOfy C- tJNT1 'A e Number (`BIZ )&32-0293 piroe3) Under penaltle of perjury, I hereby certify 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 •S.S. A person who knowingly and Intentionally falsifies the value of transferred real property, or omits or falsifles any Information required to be provided, commits a Level 5 felony. Signature of Seder Signature of Setter Printed Name of Seder Date Signed (mm/dd/yyyy) Printed Name of Seder Date Signed (mm/dd"). TIMOTHY L. RAMSEY D% /1ZO2- i J. BUYER(S)/GRANTEE(S) — APPLICATION FOR PROPERTY TAX DEDUCTIONS — IDENTIFY ALL THAT APPLY Buyer 1— Name as it appears on conveyance document Buyer 2 — Name as it appears on conveyance document TIMOTHY LEVERN RAMSEY EMILYNNE VIRGINIA RAMSEY Address (number and street) Address (number and street) 202 N Main St 202 N Main St City, State,, and ZIP Code City, State, and ZIP Code Owensville, IN 47665 Owensville, IN 47665 Country Country USA USA Email Address Telephone Number Ema3 Address Telephone Number ( > ,(o (-7(05 )5 -V(0 Pursuant to IC 6.1.1-12.44, the Sates Disclosure Form may be used to apply for certain de uctlons. Identify all of those that apply: YES NO CONDITION YES NO CONDITION © 1. Will this property be the buyer's primary 0 0 3. Homestead residence? 0 0 4. Solar Energy Heating or Cooling System 0 0 5. Wind Power Device 0 ® 2. Does the buyer have a homestead to be vacated for this residence? It yes, provide address: 0 0 6. Hydroelectric Power Device 0 0 7. Geothermal Energy Heating or Cooling Device Address (number and street) City,, State, and ZIP Code County�� 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. A person who knowingly and Intentionally falsifies the value of transferred real property, or omits or falsifies any Information required to be provided, commits a Level 5 felony. (Note. Both spouse's Information, =hDriver's UcenseRD/Other Number is necessary only if a Homestead Deduction 1s being riled. Signature f Buyer 1 Signature of Buyer 2/Spouse 3 Printed LegalWame of Buyer Sign Date (MWDD/YY) Printed Lebal Name of Buyer 2/ pouse Sign Date (MM/DD/YY) TIMOTHY LEVERN RAMSEY EMILYNNE VIRGINIA RAMSEY L t5Digitjoj Buyer 1 SSN/Ddver's LlcenseAD/Other Numb r Last 5 l)$gjits,of�uyer 2/Spou S N/Dri er's L[censeAD/Other Number Page 3 INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2 iN.PREPARERT.- 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 CHRISTINAeREGIONAL-LT.COM City,State,and ZIP Code Telephone Number E-mail (VSEEEER(S)°/GRANTOR'(S)T ` ,., Richard D Henry Rachel C Stoll nka Rachel C Henry Seller l-Name as appears on conveyance document Seller 2 ame as appears on conveyanred omen[ Boa n) M AI ti s-1- X ao L fl `c�4) S-- Address(Number and Street) Address(Number and Street) X raw evi s v ; I I f . /il L/770 to S XG e_cEq Me_. ,SN L\--7(0(c) 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 rGpuired by law,and is prepared in accordance(with-LC 6-1.1-5.5,"' -al Prop Sales Disclosure Act". tJ 4 $ a. k , Signature of Seller le I Signature of Seller / Richard D Henry 1112 3/ ) (a Rachel C Henry I�/a3/l�r Printed Name of Seller Sian bate(M.M//DD/YYYY) Printed Name of Seller .,....Sian Date(M.N/DD/YYYFI t F:,BU.YER(S)%GRANTEE(S)SAP.P:LICATiOI ORPROPERTIY!TAX�DEO.UGTIONSMDENTIt 1ATI M ITHArra E D — Timothy L. Ramsey Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document r 7/720 li; 9SO s DEC 1.2 2016 Address(Number and Street) Address(Number and Street) 37. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS . IDENTIFY ALL OF THOSE THATrA.. . YES NO CONDITION NO CONDITION ❑ 1.Will this property be the buyer's prima I 10 ❑ 3.Homestead X residence? Provide complete address of p •••. ear nergy Heating/Cooling System residence,including county: ❑ 202 N Main ST 5.Wind Power Device Address(Number nd Street) ❑ 0 6.Hydroelectric Power Device Owensville, 47665 Gibson ❑ jl 7.Geothermal Energy Heating/Cooling Device Ciry,Staten Code 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) Ciry,State ZIP code ��_l7_/a- a -C�O0-aS-Oaa Counry Primary property owner contact name E-mail