HomeMy WebLinkAboutHomestead_Corn I INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
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I LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Title
I 5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES. LLC
Address(Number and Street) Company
' EVANSVILLE,IN 47715 812-468-8485
City,State,and ZIP Code Telephone Number E-mail
I
=E>SELLTER(S')YGRAN•T,OR'(S)7 '. air.,A% it -- , .� fzi�nz ` a kt;,� S s_
..r :- . .. - " -.. - i F n a i.. .. ... Karl S Kohl individually
Sellers Name as penrso mnveance document Seller 2-Name as appears on conveyance document
ID \ % -Y Jags Q I va C ----
Addr (Number and Street) Ad ess5 tuber an Ste )
l.
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and I elief,is true,correct
and corn le as re ui -law rid is prepared in accordance with IC 6-2. 5.5 "Real P o . es disclosure Act".
Signature of Seller I 1 C "
Signature of Seller .' '' i 1
Karl S t Kohl as Trustee _I 3_,I t1 Karl S. Kohl _� 3 'j O p�
Printed Nameo Seller Si!n Date Dml DP/1TM Printed Name a Seller Sian Date(M.M/DO/YYY)
iETBUNTRTS1%GIT AP yTEE(S)iAIO 7.-(CAROM P,OR11FaCP,ERTy1iRM40EDUC-TIfONS II)8-ITFIFY eifIITEIS.95FTHAT7tAPPIireta;
Bailey D.Corn
B,ryer I•Name as appears arr t nveyance document ei Buyer 2-Name as appears on conveyance documen
ress.(Number and Street) Address(Number and Street)
• • ' OcoLXILr\d C-N-
THE SAL SCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY IDENTIFY ALL OF THOE,THAT Y. . rt
YES NO CONDITION YES NO CONDITION SoN('`O
•
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead L Ty
q
(
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling SyI;
j st Of?
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ Igl 6.Hydroelectric Power Device
❑ 15I 7.Geothermal Energy Heating/Cooling Device
City,State ZIP a County
NI
❑ 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 information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) a/ '/ - . n y .4/-
City,state ZIP Code County
Primary property owner contact name E-mail