HomeMy WebLinkAboutHomestead_Ziliak (12) INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
D. PREPARER
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Teresa S. Holifield S
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 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)-
Tambra J.Will
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
700 Edinborough Ct
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 ,
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and c mplleJte as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
DISi nature of Seller Signature of Seller .
Tambra J.Will 5/11/2018 5/11/2018
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
Barbara A.Ziliak
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on r v document
5311 E 1150 S
- -. Address(Number and Street) _ _ - Address_(Number and Street) _ _ �,_ _ _
Haubstadt, IN 47639
THE SAL S DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT4.`1Rs'bl SE THAT APPLY.
YES NO CONDITION YES NO CONDITION O(/A,
❑ 1. Will this property be the buyers primary ❑ 3. Homestead X00,,,
residence? Provide complete address of primary ❑ p 4. Solar Energy Heating/Cooling System
- residence, including county:
❑ a 5. Wind Power Device •
700 Edinborough Court
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Naubs dt, IN 47639 1 Gibson ❑ El 7. Geothermal Energy Heating/Cooling Device
Cie,State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 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.
5311 I is os Not available in all counties.)
Address(Number and Street)
{takl:5 tAa1", -r 4-2(e5 9 2l0-(9-3 ) -&fay ono 93700
Ciry,State ZIP Code County property owner contact name E-mail