Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Gulledge (2)
• INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 r* ;�D.P.REPARER� = c"::b: r .;:KC N-- 4•^35�-��-'-b;..4 . •� +.a _A-`:.�'.r'„rr� r'1-' i. �r, Sherri S Hudson Closing Manager Preparer of the Sales Disclosure Form Tide 501 Main Street, Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 dosinq.dept(a)ieffbosse.com City,State,and ZIP Code Telephone Number E-mail ETSEDEER(SIZGRANTOR(S)W Y.:ti - ` > ..n:.7- ,_; ''3 !7:0-3";..__- .f. 1/ .,? . Sharon F Falls Seller l-Name as appears on cony once document Seller 2-Name as appears on conveyance document p2/.S' Oti !< S t LAddrimbvelg rid Sheet) 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 corn e as required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Si-attire of Seiler= AL/�J .►1 Signature of Seller Sharon F Falls - 9—/— /7 Printed Name of Seller 1 `S lDate(MH/DD/YYY1) Printed Name of Seller Sign Date(MAND/YYYY) FF�BUYER(S)%GRANTEE(5)SAP,P,Ii1GAT10NF.OR+P.ROP,ERTYnTAX?DEDUCT[ONS£IDENTI F.YfAIiL+ITEMS_THATAPP,L'Y�"}��--,-1"�--�,, c; n J9J� Corey E.Gulledge - Media R. Gulledge ore y E.Name Gull appears on conveyance document Media -Name Gulledge appears on conveyance d merit-671 S.State Raod 57 671 S.State Raod 57 Address(Number and Street) Address(Number and Street) SEP 7 20!7 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENIIFYALL OF THOSE THAT L °VAT' AUDI I ON YES NO CONDITION YES NO CONDn1ON . ❑ 1.Will this property be the buyer's primary 16 ❑ 3.Homestead - iesidence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ Q 5.Wind Power Device Address(Number and Street) ❑ (77J 6.Hydroelectric Power Device ❑ (Z) 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ E1 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide Contact information /,�I includin c u ty: below.Please see instructions for more information. L� /( /Tps � '/sA'i // Not available in all counties) /yt�dryrest/hZm6c gndCA _^Lll' �7K(/0 a „ O6- 13-i a-aoo -ow. c a oo( ,`/J City, ZIP CJ' County Primary property owner contact name E-mail