HomeMy WebLinkAboutHomestead_Rhodes (2) 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)
Estate of Kenneth Joseph Scheller
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
408 W Elm
Address(Number and Street) Address(Number and Street)
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
andico to as required by law an is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
`Signature o Seller 4 Signature of Seller
Christopher E Scheller, 12/15/2016 12/15/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller T T ' S a D/YYYY) •
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL IT S TAP e
Jason Rhodes) ((���C qH ��
--Buyer-1--Name- s appears on conveyance document Buyer 2-Name as appears on conveyabt€ on1016
41 E 1100 S
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YFS Nil CO ITION
�f ❑ 1. Will this property be the buyers primary r: ❑ 3. Homesteas
`` residence? Provide complete address of primary ❑ 0 q- Solar Energy Heating/Cooling System
residence, including county:
408 E Elm St. ❑ 0 5. Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Haubstadt, IN 47639 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State Code County • ❑ 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 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.
• • . -• - ma coun res.
Address(Number and Street) -f` / - /R _ 3h _ yo 9-000. 563 -0,0 Q
City. State ZIP Code County Pnmaary(property owner contact name - -d