HomeMy WebLinkAboutHomestead_Fouts (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER "'
Laura Rinincier Closing Coordinator
Preparer of the Sales Disclosure Form Tide
•
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC .
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code - Telephone Number E-mail
E.SELLERN/GRANTOR(S)
Ganen L. Hill Kimberly A. Hill
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
206 Harding Ave 206 Harding Ave.
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton. IN 47670 - •
Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an omplete is req Ir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
,, • a. ` es,
Signature of Seller Signori: - • eller ,
Garren I . Hill - "2"1- 11 Kimberly A. Hill 3•Z4.17
Printed Name of Seller Sign Date(MM/DO/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITTiiW APP `J _ -
eather R. Fouts
qty t N ry rs an conveyance document Buyer 2-Name as appears on conveyance document
404 W.State Si MAR 31.2017
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homeste-; s
residence? Provide complete address of primary ❑ IS 4,Solar Energy Heating/Cooling System
residence,including county: ❑
206 Harding Ave S.Wind Power Device
Address(Number and Street) ❑ IN 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State Zl a County
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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) a — O 8- 0t co - 000. a a 7 - 0 A g
p
City,State ZIP Code County
Primary property owner contact name E-mail