HomeMy WebLinkAboutHomestead_Evans (2) INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2
D.PREPARER.. . _. .
LANA C. HARPER _ CLOSER
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Rd.. Ste.A TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-468-8485
City,State,and ZIPCode Telephone Number E-mail•E.SELLERS)/GRANTOR(S)- -. '_ " _. _ _. -
Robert P Riley Peogy S Riley
Seller I-Name as appears on conveyance document Seller2-Name as ap. on conveyance document
,35
5 5, � E _
Add s(Number and Street) t ------ TILIR\
up,
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".
t. Signature of Seller Signature of Sel /
Robert P Riley ,7- 2-2---Le Peggy S Riley 3
Printed Name of Seller Sian Date(.41M/DD Printed Name of Seller } gD.WDD/YYYY)
F.BUYER 5)/GRANTEE(S)-APPLICATIONfOR PROPERTY Y TAX DEDUCTIONS=IDENTIFY ACUTE T APP d
David B. Evans
uy� ameas appevrs on conveyance J u$ ` Buyer 2-Name as appears on conveyance document
S ,,,�`} //(J�.�/1 quit MAR 26 2018
Tess(Number and Street) Address(Number and Street)
(u>e iicI it, ICAM 4-7itt 4-5 n.
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES 0 CONDITION YES NO CONDITION
1.Will this property be the buyer's primary ❑ 3.Homest
residence? Provide complete address of prima U U 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
cn•,smtezu• a County
7.Geothermal Energy Heating/Cooling Device
❑ 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)
o?G -1 7• /d - aoy -000• 57y -o ?.,2
City State ZIP lode County
Primary property owner contact name E-mail