HomeMy WebLinkAboutHomestead_Keach INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - . - - _.
THOMAS L. MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE, LLC
Address(Number and Street) Company
EVANSVILLE, INDIANA 47715 812-402-6555 closinosetruetitlein.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) ' - - -
GFRflORY K MANN ANNA N MANN
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
331 F STATE STREET 331 F STATE STRFFT
Address(Number and Street) 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 corn teas required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
------it / - /
' Signature of Seller •nature of Seller
GREGORY K MANN 17/ /`7 /2017 ANNA N MANN 12/ fl 0017
Printed Name of Seller Sian Date(MM/DO/nvY) Printed Name of Seller 1 4Date(MM/DD/YYYn
F.BUYER(S GRANTEE(5)-APPLICATION,FORPROPERTY TAX DEDUCTIONS-IDENTIFY.AL 1 •E_SJHA1 P II
one as appears on conveyance document Buyer 1-Name as appears on ronvel/aggsdgcurp�rtn 7017
331 E. STATE STREET Uhl• LI I
Address(Number and Street) Address(Number and Street)
PRINCETON, INDIANA 47670 lily". —
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION II SI
YES P iv-pint F ON
❑ 1.Will this property be the buyer's primary / ❑ 3.Homestead
residence? Provide complete address of prima ❑ PA er• - g/Cooling System•residence,including county: ❑
331 E STATE STREET 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
PRINCETON, INDIANA 47670 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,Stare P 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 ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact informadon
including county: below. Please see instructions for more information.
77// Not available in all counties.)
Addres(Number and Street) XO "�a -o 7 - )`v
O3 -oor. n4., -0 A.?
BLADE M.KFACH
City,State ZIP Code County
Primary property owner contact name E-mail