HomeMy WebLinkAboutHomestead_Tedrow III INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _ ; ;'; ;Y ,. I . ;
Becky King Closing Services
Prepare(of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd.,Suite 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 beckv.kinq(ohregionaltitlellc.com
City,State.and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) ° - • • r 14 °' . .. -
Paula S Thurston
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1020 S Adams
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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
A A ✓. 5 [ A ,joh.- -ali. ,lvtintSlr..)It- {-
Signature of Seller a$'-/ I Signature of Seller
Paula S Thurston by Misti L Moen AIF 08/25/2017
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller q MM/DD/YYYY)
F.BUYERS GRANTEE S '=."APPLICATION FOR PROPERTY TAX,DEDUCTIONS-IDENTIFY ALLITE S A
Arthur W.Tedrow III
i-Name, •-•vrs on conveyance document Buyer 2-Name as appears on conveyance docuf4dntG 2 9 2011
1112 S. Seminary St. VV
Address(Number and Street) 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 CONDITION YES Nn CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homesteas
residence? Provide complete address of primary • pj . nera • t. 'ng/Cooling System
f�^ residence,including county:
G 4--c.e ■ _1 A�' ❑ 12 S.Wind Power Device
(V
Ad ress(Number Street) ❑ Q 6. Hydroelectric Power Device Street) y
a 'A - ►4 J • S • I ❑ Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
IN
❑ ( 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 ❑ 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(Number and Street)
9 2 6 -fd - 18 - ID 3 -ooA. g8.1 .O,
City,State ZIP Code County
Primary property owner contact name E-mail