HomeMy WebLinkAboutHomestead_Hose (2) • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PRE PARER
CHRISTINA LATHAM TITLE CLERK
Preparer of the Saler Disclosure Form Tlrle
4703 THEATER DRIVE REGIONAL LAND TITLE
Addreu(Number and Street) Company
• EVANSVILLE IN 47715 8124024553 CHRISTINA(SREGIONAL-LT.COM
Qty,State and ZIP Code Telephone Number E-mail
E.SELLER(S)JGRANTOR(SJ . v.`< ,r-:<€1•. - .cl illi -F'* et_p,y-s-!i •
Janet J Frantr
Seller I-Name as appears on conveyance document Seiler 2-Name as n an cm
Ij`/ S. �n/ Atez peen conveyance document
r. Address(Number and Street) Address(Number and Street)
OcAk‘Wll
Under pen. • : of perjury,I hereby certify that • s Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp —as re t . ed by law,and is , -- tared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
s(gna• 4r . rime stgna:ure of Seller
...Art. 0724 2017
P ..red Home of Seller Sign Dote(NM/oafrvtT) Printed Hone of Seller Shin Date waip/IM)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY .
David N Hose Heather N Hose 1
• Buyer l-Home as apperrson conveyance document Buyer 2-Name as appears on conveyance document
118 S 2nd Ave..Oakland City.IN.47660 118 S 2nd Ave.. Oakland City.IN.47660
Address(Number end S reef) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONOFflON 1 YES NO cONOmON i
0 ❑ 1,will this property be the buyer's primary 0 ❑ 3.Homestead JLLJ�
residence? Provide complete address of primary $yt�n
❑ 0 4.Solar Energy Heating/Cooling g SL�II
residence,including county: ❑ n 5.Wind Power Device JA
118 S 2nd Ave Oakland City. IN 47660
Address(Number and Street) ❑ 12 6.Hydroelectric Power Device
7.Geothermal Energy . n ij!.. Device
city,State ZIP Code County ❑ �i•ll,. %T -
❑ Ed 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this prop }jd�tIIlADt1 lfta1� L7
vacated for this residence? If yes,provide ❑ 0 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()lumber and Street)
David N Hosea(0-13-13-god-Otota3 I-COI
Ctry,state ZIP Code County
1Mrnaryproperly owner contact