HomeMy WebLinkAboutHomestead_Tomey-Hunt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Pam Hancock title administrator/closer
Preparer of the Sales Disclosure Form Title
221 NW Fifth St Lockyear Title. LLC
Address(Number and Street) Company
Evansville,IN 47708 812-421-8405 oamela(o)lockyeartitle.com
City,State,and ZIP Cade Telephone Number E-mail
LES,SELLER(S)%GRANTOR(S)) _
Brian L. Holcomb and Kassi L. Holcomb, husband and wife
Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document
qNN S. Mon Si-
Address(Number and Street) Address(Number and Street)
Prin(e+on IN Ll1G1O
Under penalties of per' ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
nd omplete as re:1 d b aw,and is prepared in accordance with IC 6- -5.5
1.1 "Real Proper Sales Disclosure Act".
ignature of:ellMr Signature of Seller
Brian L. Holcomb 12- 21_1 G Kassi L. Holcomb IZ-21 -IC,
Printed Name or Seller Sian Date fMN/DD/YYYYI Printed Name or Seller Sian Date IMM/DO/YYYr
if:..BU.YER(S)'/.GRANTEE[S)_APP,LICATIONIEOR1PROPERT;YYAkDEDUCTICISS=IDENTIFY'MarrfEMSTHATtAPP,LI ___
Peggy A. Tomey-Hunt
Buyer I'Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
730 S. Hall Street
.447
Add res s(Num ber and
Street) Address(Number and Street)
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. 10%1EYA /'THOSE THXY�T,$k;.
YES NO CONDITION YES NO _CO Oh i', ', •
U/,
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. HomeFtt(W
residence? Provide complete address of primary E2 4.Solar Energy i r.: ng/ oiling System
residence,including county: A.
130 S Hall 5-1-i 2 e+
❑ 12 S.Wind Power DevicertQ
Address(Number and Street) 6-i b son ❑ 12 6.Hydroelectric Power Device
Pt i nce +t)n.1\1 `k](0-10 tactetgiss ❑ Q 7.Geothermal Energy Heating/Cooling Device
City;State ZIP Code County
❑ ff 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 ❑ 12 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) /S q p^[�J(��,
City State ZIP Code C is-Ia-/ 8 -JO / 0ca51 � O "°
County
Primary property owner contact name E-mail