HomeMy WebLinkAboutHomestead_Smith (22) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_Dr$REPARERLL.2..�x•v <-. -`.,.: i_°::_.><'i. 42 ...': C4... Ya
Allie Alexander Processor
Preparer of the Sales Disclosure Form Title
2301 N. Burkhardt Road First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (812)490-8485
City,State,and ZIPCode Telephone Number E-mail
ESSEL•t•;ER(S)/,GRAN'TONS) _ ,,-,-. - ;a r:';- - ..=17577::= �'-- � T �' M. 1 < , .'- C.4 i- ..7,-11,11:-7
Kevin R Wipe Angela R Wise
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
54-2R. an SQL 115
Address(Number and Street) Address(Num .and Street /—
'WI-AS\ill‘
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn let as required bylaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
(Sig acute of Seller Signature of Seller
9. /5-.17 /IS/2_0 I -)
Kevin R Wise Angela R Wise a
Printed Name o[Seller _ Sian Date(MM/DD/mT3 Printed Name of Seller f S n Det r' D
F BUYERS) ,GRANTEE(S)1 APPL'IC-'ATION-FORPROPERTY„TAX;DEDUCTIONS-jIDENTIFYALL.ITTEMSTHAT ',P C ��I
Philip R Smith Brittnev R Smith
u y����.yyeurs- onconv n��r tc Buyer 2-Name a pear�conve conveyance SEP 18 2017
Addrr(Number and Stie 1 —n / _ Address(Numo.-and.r f II
TII E SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES 0 CONDITION I YES NO CONDITION
❑ I.Will this property be the buyer's primary A ❑ 3.Homestea
residence? Provide complete address of primary U 4.ldiar Energy Heating/Cooling System
9 esidenc� d,..., •pty: ❑ N 5.Wind Power Device
Address(i i:- i!d Street)//I/ �JJ� S ❑ I 6.Hydroelectric Power Device
Okr5Vl let - �, 'S ❑ E 7.Geothermal Energy Heating/Cooling Device
City,State UP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ g 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) /y q
City,sra:evr rile lava:}. AT -17 _ D / - AOO - DD V. g,L 3 -Od/
Primary propertyowner contact nine E-mail