HomeMy WebLinkAboutHomestead_Ervin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
LD PREPARERt,_L •___ --
Stacy Brown Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services,LLC
Address(Number and Street) Company
Evansville, IN 47715 , 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
'E?SELL(S)/GRANT,OKMt _ . f - -.,_- _.—v 7-77$:±6.-71' T,= 1
Philip H Studler Jr • Marilou I ajar Studler
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyancedocument
5588 Fnright Ave 5588 Fnright Ave
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 at required by law,and is prepared in accordance with IC46-11..1-5.55,"Real Property Sales Disclosure Act".
AAA I
Signature of Se ler 1 Signature of Seller
Philip H Studler Jr ��/ 7 Marilou I azar Studler --W--/ 7
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(.N.N/aD/YYYY)
_Pf BUYER(SyGR. UTEE(S)�AP,P,LICATIONiEOR P,ROEER-T YL,TAX4DED.UGTIONS EiDENTIEY'AEWTEt�iS±�THATJAPPLY '7" •Til
Jesse W. Ervin
ED
B uyer?-Name a appears on conveyance document Buyer 2-Name as appears on cony eyE IL
228 W State St.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 SEP 12 2017
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF7HOSE'rHA'�A��LV.
YES NO CONDITION I YES NO CONDITION
is ❑ 1.Will this property be the buyer's primary igi ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
525 S. Race St. _
Address(Number and Street) El ig 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson
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 ❑ 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)
^-XI CO-. ta_O f1-1103-00(-119 -0;8 City,State ZIP Code County
Primary property owner contact name E-mail