HomeMy WebLinkAboutHomestead_Anders INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D RPARE !T , ,:e ,_ .. r ri177 ;7 7
"Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Title
501 Main Street Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville. IN 47708 812-421-4000 closinq.dept(a)ieffbosse.com
City,State,and ZIP Code Telephone Number E-mail
LE:SEEL'ER(S)%GRAASITOR(S)! —7:_' :-.r7rS _ -'.' s..- .7 CIS;"_r'-7-r - . _ - -I
George R Davenport Kristen Davenport
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
/211141 5. )7,DnJt 174, / ii49 —5 , 3rooke br
ZAddress(Numbir and Street) dr (Number.and Street)
wcnry,..,ter,
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 equjrgd by law,and is prepared in accordance with 1
eyjSe � (` / 6-1 "Real Property Sales s Disclosure Act".
_ � 1ale I e"Vl
S(gnamrr ller s(gnatureof rn
Sens 7 e R Davenport r �^p/l 7 Kristen Davenport ( 2o1/ 7
Printed Name of Seller ,_SSan Date(MM/DD/YYYY)'. Printed Name of Seller Sign Date(M.M/DD/YYIYI
— 17,F.t-'13UYER(S2GITANTEE(Sy -APPLIEATIONtEOR'PROPERTY:TAXEDEDUCTIONSi.IDENTIEWALL-ITEMS-THAT-APPEY,_ _.._
Casandra M.Anders Bradley Anders
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
P.O.Box 41 P.O. Box 41A
Address(Number and Street) Address(Number and Street) r"
Fort Branch. IN 47648 Fort Branch. IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATAPT')(S' -/�
J ` NO CONDITION YES NO CONDITION CO�Ar.`'h �
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary 0 4.Solar Energy Heating/Cooling System/r0
r ide including county: Wind R
cl
�a ❑ 0 5.N ind Power Device
Address(Number and Street) ❑ 15I 6.Hydroelectric Power Device
❑ 14 7.Geothermal Energy Heating/Cooling Device
�CCiiry,State ZIP Code County
Ixl ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.1s this property a residential rental property?
T-` vacated for this residence? !ryes,provide ❑ SI 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
below. Please see instructions for more information.
in uding ty: f f
,�� �(, , .l`, 'Ca \� Not available in all counties.)
Address(Number and Street)
1S �I`c\Q.‘C ,,\NJ ATh F-U qy\LQ.r ,i6-/9--/9- 020.3- o6/ 0739- oat
City,State ZIP Code County
Primary property owner contact name E-mail