HomeMy WebLinkAboutHomestead_Eberhardt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER ,
Jeff Huls _ _ Clsoer
Preparer of the Sales Disclosure Form Title
606 Main Street The Title Co.
Address(Number and Street) Company
Jasper, IN 47546 812-482-1696
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTER(S)
Jack Eberhardt Evelyn L Eberhardt
Seller I-Name as appears on conveyance do anent Seller 2-Name as appears on conveyance document
Address(Number and Street) Address(N ber 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 . p ete as require. .y law,and is prepare j'n accordance with IC 6-1. -SS,"Real Property Sales Disclosure Act".
i / /
Si- ••re of Seller Signature of S-ler
herhardt 7-19-17 Evelyn L Eberhardt 7-19-17
'tinted Name of Seller Sign Date(MM/DD/YYYI') Printed Name of Seller Sian Date(MM/DD/YYI'Y)
.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE �JAT Pit
..an J. Eberhardt n�8'-1"� rgy®»./�N�..'+,J
. • . • .•rs on conveyance document Buyer 2-Nome as appears on co anc
7/l 5e4A a/ 11-•Ft•eed
Address(Number and Sleet) Address(.V umber and Street) JUL 25 ZU 7
0,414.d (;,
-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YESSSS,,, NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary I 0 • 3.Homeste••
residence? Provide complete address of prima r o n•rgy eating/Cooling System
residence,including county: ��
❑ El 5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device
G j bst-iv ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ M' 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ re 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 4 - j y -i17- 30/ - 000. ` •ZS-o07
City,State ZIP Code County
Primary property owner contact name E-mail