Homestead_Dillon INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
D. PREPARER
Teresa S. Holifield 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 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Christopher R.-Cochrane
Name as appears on convee'ance ocument Seller 2-Name as appears on conveyance document
-15-42A er k (.06-4v-4 'zt
'PO �(Nyumber and Street) Address(Number and Street)
',7iO Sae1I son ST- 04/eta (- 7,%?,‘0
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and compl required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
/ - /
Signature of Seller Signature of Seller
Christopher R. Cochrane Cj - i '-k- ■
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 IT AP,
Abby M. Dillon
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
728WOakSt MAY 31 2018
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
El ❑ 1. Will this property be the buyers primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ p 4. Solar Energy Heating/Cooling System
residence,including county:
❑ 0 5. Wind Power Device
728 W Oak Si. ❑ 0 6. Hydroelectric Power Device
Address(Number and Street)
Oakland City, IN 47660 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code - County ❑ 2 8. Is this property a residential rental property?
❑ El 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.
Not available in all counties.)
Address(Number and Street)
-i3- 'toil- cot- a5a-ab7
City,State ZIP Code County Primary property owner contact name E-mail