HomeMy WebLinkAboutHomestead_Boyle (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Zachery Maxheimer Melissa Maxheimer
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6126 Old Princeton Rd 6126 Old Princeton Rd
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville, IN 47665
Under penalties of perjury, I hereby certify that this Sales Disclosur to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with 06-1.1-5.5, "Real Property S es Disclosure Act".
ca Qts— L-
Signature of Seller Signature of Seller
Zachery Maxheimer 6/72017 Melissa Maxheimer 6/7/2017
Printed Name of Seller , Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Tyler F. Boyle '• e- °• -
Buyer - ' . e as appears on conveyance document �- ^ - - •- - - appears on conveyance doc::�
6012 Springfield Dr 6012 Springfield Dr k
Address(Number and Street) Address(Number and Street)
Evansville, IN 47720 Evansville, IN 47720 ,/,,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL ad'at, HAT APPLY.
YES NO CONDITION YE •—•••='uttl'murr� N N.,- `
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestea• I✓✓,o7
residence? Provide complete address of primary • 0 4. Solar Energy Heating/Cooling Syst��
residence, including county:
❑ 0 5. Wind Power Device
6126 W Old Princeton Rd.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
:Owensville, IN 47665 : [ Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
- City, State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
OX -/7- 3/- Soo , 00/. .°7-1-- O0L/
City, State ZIP Code County Primary property owner contact name E-mail