HomeMy WebLinkAboutHomestead_Martin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Sherri S Hudson Closing Manager
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 closing.deptieffbosse.com
City.State,and ZIP Code Telephone Number E-mail
E,SELLER(S)/GRANTOR(S),a)Z:. - --;;'..:,-7.:•‘':- :,,:,'2,'?_.,c,
Jeremy S Thompson Ashley M Thompson •
Seller 1-Name as appears on conveyance document Seller 2.Name as appears on conveyance document
3 7 t 7 5 APS5our_r p R
Address(Number and Street) Ad• ,....(Number and Street)
PO
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 IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signer of Seller
Siature of in
gn Iler 111"12-42n-
Jeremy S Thompson 042 14 he Ashley M Thompson 41—ig—/7
Printed Name of Seller Sion Clate(W4/DDMYY) Printed Name ofSeller F,DatiMAUDDAYYY)
IF.-BUYEKSVGRANTEE(S) APPLICATIONiFORPROPERTYTAkDEDUCTIONS IDENTIEY.ALINTEM ' PLY -:-'-',4-
evi T.Martin
isuyene a s appears on conveyance document Buyer 2-Name as appears on conveyance document
5202 Normandy St. APR 24 2017
Address(Number and Street) Address(Number and Street)
Evansville,IN 47715
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDMON I its
U ID 1.Will this property be the buyer's primary . N] 0 3.Homestead
residence? Provide complete address of prim:i 0 151 4.Solar Energy Heating/Cooling System
residence,includisvunty:
(30% 3. I-Ylk vk 5 Fl S.Wind Power Device
ggslrNMer<IndvStg),..a,joi 4114,6 (....„
' bSOn 0 151 6.Hydroelectric Power Device
0 1%1 7.Geothermal Energy Heating/Cooling Device
W,State ZIP Code County
0
El vj 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 a 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
i cluding u Qty: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
f9■‘; —I " - I a - ; 03 - CW°.
city.State State ZIP Code County
Primary pmperty owner contact name I E-mail