HomeMy WebLinkAboutHomestead_Obert INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _ - _ "- _ , -
Stacy Brown Closing Coordinator
Preparer of the Soles Disclosure Form Title
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.SELLERS)/GRANTOE(S} .
Eric M Bodrie Shannon L Bodrie
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
420E 795 S 420 F 795 S
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort Branch IN 47648
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 required by law,and is prepared in accordance with
hI,, p knTh IC6-1.1-5.5,"Real/Property Sales Disclosure Ad".
Signature of Seller (,� it Signature of Seller
Fric M Borlrip 1 b 7 Shannon L Bodrie Printed Name of Seller Sian ate(M D/YYYY) Printed Name of Seller Si Date( M/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T -,0"L]S
YES NO CONDITION YES NO CONDITION
0 �❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead //y��®
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heatipgling SysteN++.o
residence,including county:
795 S ❑ 0 S.Wind Power Device 1 2077
Address(Number and Street) ❑ 0 6.Hydroeljt�riTc PI,r Device
Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Nr-' Yet. -'. a ',o Device
Ciry,State Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 12 8.Is this property a resUr1Abi'a,1 •ptal property?
vacated for this residence? If yes,provide ❑ 12 9.Would you like to receive tax statattQtents 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) 2 to-/-9- /9 - 0209 co/ 307/- 0.2 te
•
City,State ZIPCode County
Primary property owner contact name E-mail