HomeMy WebLinkAboutHomestead_Casey INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City. State, and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Estate of Mary P Schile Cause#26C01-1706-EU-000998
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4055 Cedar Bluff Lane _
Address(Number and Street) Address(Number and Street)
Junction, IL 62954
Under penalties of rjury I hereby certify that this Sales Disclosure, to the best of my knowle a lief .1 ttprrect
and co ete s u e by w and i prepared in accordance with IC 6-1.1-5.5, "Real Prope S stl6su/
�/�� ' � g SEP202017
St not e f Sell r Signature of Seller
Michael L. Schiele, Personal 9/15/2017 9/15/2017
Representative r, . J -E
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller T;IR SOhI (MI miry Slgf t -j' M/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Keith E. Casey Shelly S. Casey
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
6255 S 650E 6255 S 650 E
Address(Number and Street) Address(Number and Street)
Ft. Branch, IN 47648 Ft. Brancg, IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary 12 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 21 4- Solar Energy Heating/Cooling System
residence, including county:
❑ RI 5. Wind Power Device
6255 S 650 E
Address(Number and Street) ❑ 2 6. Hydroelectric Power Device
Fort Branch, IN 47648 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ El 8. Is this property a residential rental property?
❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ 2 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
///111 Not available in all counties.)
Address(Number and Street) ar
//- - o-D 1- Yoe-Doi- 79?-col
City, State ZIP Code County Primary property owner contact name .1/ E-mail