Loading...
HomeMy WebLinkAboutHomestead_Hunt (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 (.DTP,REPARERi� —"'", 11-2_,_,_-7.77,-' 7.-F - — - _ -c:, -.1., --= --' 1 THOMAS L.MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form Title _ 101 PLAZA EAST BLVD.,SUITE 102 _ TRUE TITLE SERVICE.LLC Address(Number and Street) I Company EVANSVILLE. INDIANA 47715 812-402-6555 closinosetruetitlein.com Ciry;State and ZIP Code Telephone Number E-mail (fiSEL`LER(S/GRANTOR(S)= „._. .. lir,7,-:- -.-7_ .:� - �w_ M7f -__mss - BILLY W PFRRY PA-Tl r.IAa MUNTT s404 A. P<t f�) Seller l-Name as appears on mnveyance document Seller 2-Name as appears on conveyance document / 6627 N STATE RAOD'65 6627 N STATE RAOD 65 Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co_s plete as required aw,and is prepared in accordance wit C 66-1.1-5.5,"Re operty Sales Disclosure Act". 'signature,�ler 6 Signature ofSeller .f RII I Y W -FRRY 05/ ", /2017 4PAT-R16Fir�r-FtCR!'F J k 0.4 YET--05/ 5 /2017 Printed Name of Seller Sian Date 0414/DD/Y111') Printed Name of Seller �/ Sian Date(M m) M/DD/Y , THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORMS PROPERTY.IDENTIFY ALL OF THOSE THAT A@,p . IV YES NO CONDITION I YES NO CONDITION G'Yly��;' Fl ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead AC/0/ residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Systelt residence,including county: ❑ 6627 N STATE RAOD.65 5.Wind Power Device Address(Number and Street) ❑ [ 6.Hydroelectric Power Device HAZELTON, INDIANA 47640 ❑ yj 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code I County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ F4 B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ El 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(Numbe r and Street) 2.1,0 '-O1 -OS -Ai aQ.cr - �J 0 i>3 5-on KEITH A.&PATRICIA A.HUNT City,State ZIPCode County Primary property owner contact name E-mail