Loading...
HomeMy WebLinkAboutHomestead_Marchal (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Karen S.Creek Closing Agent Preparer of the Sales Disclosure Form Tide 501 Main Street.Suite 101 Bosse Title Company Address(Number and Street) Company Evansville. IN 47708 812-421-4000 closinq.dept @ieffbosse.com City,State,and ZIP Code Telephone Number E-mail :-E:SELLER(S)/GRANTOR(S)4. S - - .,..- - . - ; _' - .-.;c7 . . _ _ -. Crystal G. Marshal NKA Crystal A Pickett Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ry9RLi E . aoc) N . Address(Number and Street) Address(Number and Street) +r 1 i c fon Tr.!\J . `17670 • Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .Ytl 9 t . l-T(f etith Signatu of Seller Signature of Seller Crystal O Marshal NKA Crystal O Pickett • a El 7 Printed Name of Seller Sian Date(MM/DD/nT) Printed Name of Seller . i , A/oD/YYYYI F:BUYER S ' GRANTEE S _-APPLICATION;FORPROPERTY-TAX+DEDUCTIONS=IDENTIFY ALL ITEM;Eli ,a'�.�® ;-'. -it; Kevin J. Marshal - - I - - Mr- Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document _4984 E.200 North MAR 6 2017 Address(Number and Street) Address(Number and Street) Princeton, IN THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION wl n 1.Will this property be the buyer's primary SI ❑�y- 3.Homestead residence? Provide complete address of primary El L 4.Solar Energy Heating/Cooling System ag4 residence,OO )ncludingcounty: gag NJ n gi 5.Wind Power Device Address(Number and Street) (� V ❑ 2 6. Hydroelectric Power Device O'�\'\Cf'�� `1 &L M5n ❑ 2 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 8.1s this property a residential rental property? ❑ 2.Does the buyer have a homestead in Indiana to be R/ vacated for this residence? If yes,provide ❑ 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 a(- D5-2 -ao©- OW. (0.D(0-004 Primary property owner contact name E-mail