HomeMy WebLinkAboutHomestead_Stevens (9) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
1D:IPREPARERR Wr A, onai# . - _, - 't -= .-nni„c-r.:: �n 'i ,41d
Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Tide
501 Main Street. Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 closinq.dent(oliefibosse.com
Ciry,State and ZIP Code Telephone Number E-mail
E rila(S1%GRANiTOR(S) t , ss va'r. s": -�_ 5 lag--;,-4-:. .-';_ -
Richard W Folsom Catherine.lo Folsom
Seller I'Name as appears on conveyance document Seller Z-Name as appears on conveyance document
trt7ttr-gym s' 7101,7 -r. tko N N. 11,,1 C c Al .
Address(Number and Str et) Add as(Number and Street)
.__ ,.. .7a-,ti FIAACSC. 1.j-'7(o r o /1(' s{l Vf9
Under penalties of perjury,I hereby certify that this Sales Disclosure the best of my knowledge and belief,is true,correct
a ol lete/as required/by law,and is prepared in accordance w ' IC 6-1.1-5.5,"Real Proper,Sales Disclosure Act".
ari
en, 1-L):7600n— fateseme ?"-
FBnaNreafSellis� Signoaireo Seller
Richard W Folsom 14 I),I x6 Catherine Jo Folsom •O(v ,' ;.�+f t
Printed Name of Seller Da}e(MM/oD/i�iM Printed Name of Seller 1 •Sean s' •e Vi.c, ° A
ilig9,DER{S}{&RANITE6(S)EAP,P..LICATIONsEOR$ROPER ritirr X DED.UC-TIONS aNTIRWALL[TC6�tSoT +AP,t;=YT'4 .
Brit W.St ve e ) — JUN 14 2018
uyert•,.ame as appears on conveyance document Buyer 2-Name as appears an conveyance document
/02e g 350 S .
(01 um //a��ndStreet)/�+ ,/ 417,1"70 Address(Number and Street) , •'�
Prinelt^D/
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION 0 CONDITION
; ' ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary — -L7 L1J ,t75-n -Energy Heating/Cooling System
residence,including county:
❑ 19 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ [ 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
❑ ® 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)
Ciry,State ZIP Code County
%-k Z b - 00 -loo l _00k -02-7 .
Primary property owner contact name E-mail