HomeMy WebLinkAboutHomestead_Resenbeck (3) INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Prepare(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 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Chase M. Hidbrader Alexa K. Hidbrader
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
300 N Main St 300 N Main St
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
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,law, and is prepared in accordance with IC 6-1.1-5.5, "Real Pro f(�erty SalesnDisclosure Act".
Signature of Seller Signature of Seller
Chase M. Hidbrader 1/9/2018 Al- a K. Hidbrader 1/9/2018
Printed Name of Seller Sign 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 I
Ryan M. Resenbeck Stephanie J. Resenbeck
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
5519 N Knox Rd 5519 N Knox Rd I _ - I
Address(Number and Street) Address(Number and Street) `se
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS�g(�y}'�{I T--limp,
YES NO CONDITION YES NO CONDITION G!ByOr;'CO,�u'ry pUD TOR
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
300 N Main St.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Fort Branch, IN 47648 I Gibson ❑ El 7. Geothermal Energy Heating/Cooling Device
- City, State ZIP Code County ❑ 0 8. Is this property a residential rental property?
/F,,1( ❑ 2. Does the buyer have a homestead in Indiana to be ❑ El 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.
��1� k�o�. a� Not available in all counties.)
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tldress(Number and Street)
vetrslxygt..; (-I1�1 Q;�, c0 — 1 `8-13 - Yoa -000r ? 9 9-ocRes
1 City,State ZIP de County Primary property owner contact name E-mail
1