HomeMy WebLinkAboutHomestead_Hipp (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
( D. PREPARER -
( Kathy Masterson Escrow Officer
Preparer 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 kathy @swinland.com
City,State,and ZIP Code Telephone Number E-mail _
E. SELLER(S)/GRANTOR(S)
Fairy . Eckert
Seller' ame as appears on conveyance document Seller 2-Name as appears on conveyance document
1157 Grandi Dr
Address(Number ar, t Address(Number and Street)
Leland, NC 28451 -
City,State,and ZIP Code City, State, and ZIP Co.-
Telephone Number E-STelephone Number E-mail
Under penalties of perjury, I hereby certify th s Sales Disclosure,to the •• - •f my knowledge and belief, is true, correct
and complete as required by law, an repared in accordance with IC 6-1.1-5.5, "Re- • ••erty Sales Disclosure Act".
Sirerei Signature of Seller
Falco Z. Eckert _ ;k_
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller I I" ;pate(MM/DD/YYYY)
F. BUYER(S)IGRANTEE(S)-APPLICATION-FOR PROPERTY TAX DEDUCTIONS -IDENTIFY •; L I '' '• A•�• Y
David Hipp Mary Jo Hipp APR:2 5 2018
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
• . 12632 S.Scottsdale Dr. 12632 S. Scottsdale Dr.
-!Address.(Number and Street) ' - Address(Number and Street) j, %drflF
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ �---4. Solar Energy Heating/Cooling System
residence,including county:
❑ �5. Wind Power Device
111 S Weber Dr. �/
Address(Number and Street) ❑ XJ 6. Hydroelectric Power Device
-laubstadt, IN 47639 I Gibson ❑ 7. Geothermal Energy Heating/Cooling Device
Cjp;Stale ZIP Code County ❑ 8. Is this property a residential rental property?
(*3 ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 2 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 )—( 3)-- C `(.9 f t''. 60 /t-C'-/D k- Not available in all counties.)
dress(Number a d Street)
V73: A—CA-J1- - rV-7 (e ),g1 {t/LS0 0(0- 1'- 3(0- 403-000. fell
City, State ZIP Code County Primary property owner contact name E-mail