HomeMy WebLinkAboutHomestead_Ingler (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
Kathy Masterson 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 kathy@swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Brent A. Nalley Cassidy Nalley
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
218 N Race St 218 N Race St
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and co plete as req • d by w, and ' p ared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
a \. _ /_
Signature of Seller / tignature of Seller /
Brent A. Nalley (('Q (10001 Cassidy Nalley �, v/�` ` C/
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Printed Name of Seller gn Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Bryan A. Ingler Ashlie N. Ingler JJ
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on convey ce d U ent
313 S. Second Ave. 313 S. Second Ave. y
Address(Number and Street) . Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL 6I HOSDT T APPLY.
YES NO CONDITION YES, NO CONDITION nid'�t'OR
❑ 1. Will this property be the buyers primary \ISIV, ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 5. Wind Power Device
218 N Race St. `
Address(Number and Street) ❑ Ni 6. Hydroelectric Power Device
Haubstadt, IN 47639 I Gibson ❑ �� 7. Geothermal Energy Heating/Cooling Device
City,Stan ZIP Code County ❑ ® 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ Q 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.
Not available in all counties.)
Address(Number and Street)
/9(L5/—dog /(79_ 6v9
City,State ZIP Code County Primary property owner contact name E-mail
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