HomeMy WebLinkAboutHomestead_Tennis INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Daniel A Moon Attorney
Preparer of the Sales Disclosure Form Tide
116 S.Main St. Daniel Moon Law Office, LLC
Address(Number and Street) Company
Princeton, IN 47670 812-385-1843 danielmoonlaw(&gmail.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Horizon Property Holdings I LC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5101 Kleitz Road
Address(Number and Street) Address(Number and Street)
Evansville IN 47720
Under pe.alties of ere I certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co r•p ete a a • la4*d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
D. ;. /5-op1g
Printed Name of Seller Sign Dote(MM/DD/YYYY) Printed Name of Seller aaLeMM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE HAT KPPL
Mary Ellen Tennis
ame rs on conveyance document Buyer 2-Name as appears on conveyance document
MAR 2018
841 Erie Ave,.AoL D
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES . I ONDITION
5 ❑ 1.Will this property be the buyer's primary 45 ❑ 3.Homest-.•
residence? Provide complete address of primary U 4.Solar hnergy Heating/Cooling System
residence,including county: ❑
802E Willow St S.Wind Power Device
Address(Number and Street) ❑ 12 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson
7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
111 0 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 ❑ 5 Q 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)
City,State ZIP Code County
3 -04. -o700 -c00 . gq'7-009
ty
Primary property owner contact name E-mail