Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Mason Jr
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Kandace Rogers Closer Prepare of-the Sales Disclosure Form Tide 3101 N. Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville, IN 47715 812-471-8563 kandace(ohcolumbiatitlegroup.com City.State.and ZIP Code Telephone Number E-mail E>saLER(S)%GRANTOR s :` • Debra J Daman . . Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5860 I ake Shore Drive Address(Number and Street) Address(Number and Street) • Boonville IN 47601 .Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an complete as required�b�y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". f c /L)..n.�cv. C Signature ofSeller Signature of Seller Debra.1 Flaman 9/18/2017 Printed Name ofSeller Sian Date DAM/DD/Mil Printed Name ofSeller Sion Date(M.M/DD/YEn') 1%BU:YER(s)/,GRANTEE(S)',rAPP,LICATION FOR PROPERTY TAX;DEDUC-TIONS[DENTIFYALLITEMS TH4T_APPCY — ' : : ] hn E Mason D Bryerl-Name as appears on conveyance document Buyer 2-Name as appears an mnv 'cub 1 3147 East Top Hat Rd Address(Number and Street) Address(Number and Street) SEP 2 5 2017 OtH SON COUNTY AUDITOR 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 �j ❑ 1.Will this property be the buyer's primary [� ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ n S.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device ❑ [] 7.Geothermal Energy Heating/Cooling Device City,State Z 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 ❑ 171 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 Stmt) 9� -1a-is-acb-wt.5 9'-OQ I City,State ZIP Code County Primary property owner contact name E-mail •