HomeMy WebLinkAboutHomestead_Davenport Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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CHRISTINA LENFERS CLOSING AGENT
Preparer of the Sales Disclosure Form Title
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Street) Company
EVANSVILLE IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
iE.•SELLER(SVGRANTOR(S) . - - - _
GREGORY A DAVIS JEANNIE NI DAVIS
Seler -Name as appears o conveyanc document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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Under penalties o
Signatures of'of erjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp{Jteej �as equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
s.Seller ` Signature of Seller / /
DRFGORY A DAVIS Oj/l7A 'I :L L u �: .�.- _ _ �� b 1 7 °IO/7
•Printed Name of Seller Sian Date LHS/0/riVYI Printed Name of Selle Sign Date(MM/DD/YYYn
[IF:BUYER(S)''/,GRANTEE(S)-AP,PL•ICATION'FOR PROPERTY.-TAX;DEDUCTIONS-!DEN' ',' %ACLtITEMS THAT%APPLY ,= ,,_„ ,
GEORGE B. DAVENPORT JR KRISTEN R. DAVENPORT
Buyer!-Name as appears on conveyance document Buyer •Name as appears on conveyance c [ t
262E 7805 SAME ���� t,t
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT
GIBSON C UNTY AUDITOR
YES NO CONDITION YES NO CONDITION
�❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
- residence?—Provide complete address of-primary— —❑— 4-Solar Energy Heating/Cooling System
residence_including Co $1y:
/ ❑ S.Wind Power Device
01`f' 4 s luz_ IJV
Addre (Numbs and St etre ) , , �j 414,3 5 ❑ v[Y 6. Hydroelectric Power Device
S-c(_•j•� ❑ V 7.Geothermal Energy Heating/Cooling Device
City,State Zip 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 ❑ (_y 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) /�(��/
City,State ZIP Code County `P O- —1(0_ _Col • q5/ 4
Primary property owner contact name E-mail