HomeMy WebLinkAboutHomestead_Arview INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Tide
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closinq.deot @ieffbosse.com
City,State,and LP Code Telephone Number E-mail
LE3ELLER(S)/GRANTOR(S)1 _ -"47 – . - - - -- 7-J-777;
Fstate of Darryl Bent
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
'- 7 7 co i°Li P Ava
Address(Number and Street) Address(Number and Street)
1./o/145ORIe Hi 4(i7 it
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller T
Frin Rent Parcnnal Rep 9-sot —1 -] I,I I]�P�
Printed Name o Seller Sian Date(M.N/OD/YYYl1 Printed Name of Seller n t MN D/m'it
'F.,BUYER(S)/GRAN;TEE(S)=APPLICATION,FOR PROPERTY TAX.DEDUCTIONS=_iDENTiPY.ALL ITEMSTHAT APPLY!
Robert B.Arview Sararh J.Arview OCT 2 2017
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
501 E.Oak Street 501 E.Oak Street
Address(Number and Street) Address(Number and Street) Br
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES I NO CONDITION I YES NO CONDITION
LOCI El LYJ
1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
501E Oak Street 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Fort Branch,IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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) a(- I Y^_I Q-!o I— OCO5:?_O_`
City,State ZIP Code County Q_ )Jl/,
Primary property owner contact name E-mail