HomeMy WebLinkAboutHomestead_Farris INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER i • -
Teresa S. Holifield 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 teresa @swinland.com
City,State,and ZIP Code Telephone Number • E-mail
E. SELLER(S)/GRANTOR(S)
Secretary of Housing and Urban Developmen CASE#151-797099 '
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
40 Marietta Street •
Address(Number and Street) Address(Number and Street)
Atlanta,GA 30303
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and -o plete as e•uire• by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
� . ,_ _
4111111r. Signatu A fSeir- ! Signature of Seller
• 1-011,17-e kc no iej / 2g// o i
Printed.Name°° Selle Sign Dat
(MM/DD/YYYY) ; Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Chad Farris Halley Farris
Buyer 1-Name as appears on conveyance document i Buyer 2-Name as appears on conveyance document
710 Kennedy Drive 710 Kennedy Drive .
Address(Number and Street) Address(Number end Street)
Ft. Branch,-IN 47648 - Ft. Branch,rlN.47648- - - -
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. ID THp�I�yrS-7TH T LY.
YES NO CONDITION I YES NO CONDITION R LL F j 4 r
le ❑ 1. Will this property be the buyer's primary x, ❑ 3. Homestead
residence? Provide complete address of primary p 4. Solar Energy FP&pg&�l� aystem
residence,including county: �/
231 S Mulberry St. 0 If 5. Wind Power Device.
Address(Number and Street) ❑ Li 6. Hydroelectric •al, b 4
{Oakland City, IN 47660 17 5t/ 7. Geothej(nSeerg :.?n: •89JifIg vice
�0 ty, Gibson I fFCU1RR
City,State ZIP Code County 6 t31 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ Ii 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.
Not available in all counties.)
Address(Number and Street)
o�(0-19-Ig -_3Dy- ODD.S(o9 -002
Ciry, State ZIP Code County Primary property owner contact name E-mail