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HomeMy WebLinkAboutHomestead_Davis (9) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER ' Crystal Libbert Title Clerk Preparer of the Sales Disclosure Form Title 4703 Theatre Dr. Regional Land Title Address(Number and Street) Company Evansville, IN 47715 812-402-4553 crystal(Wregional-Lt.com City,State,and ZIP Code Telephone Number E-mail E:SELLER(S)/GRANTOR(5) , . `:- . : ; ' . -- , . Jim Morgan Trustee Coleman&Minnie Joyce Davis Revoc I vng Tr Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document - 7g'2G Sa„rf, LtS rGa Addr¢ss(Nuumbesa dstreett Address(Number and Street) • Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and •mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �____ . as Zr Jf ' ISigerenfSelfer Signature of Seller lim Morgan Truster,Coleman&Minnie Joyce II (t-17-4i-- Printed Name ofSeller Sign Da W411- Printed Name of Seller Sian Date(MM/00/Y1YY) F,BUYER(S)/GRANTEE(SrAPPLICATIONFOR PROPERTY TAX•DEDUCTIONS-IDENTIFY;ALL ITEMS THATAPPLYp,r _ ' Tim I Davis - F l g E �� Buyer lh'ameas appears on conveyance document Buyer lh'ameas appears on ronv t e u nt raddrea umb' ndStreet) / / �/ Address(Number Street) NOV 117a ( 6 2017 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALLOWHe J° .• •, /, Y NO CONDITION I YES NO CONDITION - iita.47r© 1 Will this property be the buyer's primary ID ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 144E 795 S 5.Wind Power Device Address(Number and Street) ❑ II 6.Hydroelectric Power Device _Fort Branch, IN 47648 Gibson ❑ IZ 7.Geothermal Energy Heating/Cooling Device City,star IPCade county ❑ 0 8.Is this property a residential rental property? © • 21 Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ Wj 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) I r'� F^F^, _^/ City State ZIP Code Caunry a� l q•II�- _/D3- Wi•R Primary property owner contact name E-mail