HomeMy WebLinkAboutHomestead_Jones (3) INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
D. PREPARER
Kristina Watson 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 kristina @swinland.com
City,State, and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Ashley J. Parker
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
517 S 9th Ave
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 complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature oLSell O�, Signature of Seller
Ashley J. Parker 01,C1[ _K
Printed Name of Seller 71 Sign(Date'(itV DriYY). Printed Name of Seller Sign Date(MM/DD/YYYY)
F. JJYER(S)VG E(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM{I PLE T)
6avid Michael Jones Delores Darlene Jones ���LLL���LLL
Guyer -hmn n conveyance document Buyer 2-Name as appears on conveyance ume9t
1116 Tess Dr 1116 Tess Dr gel 4 2��$
Address(Number and Street) Address(Number and Street) `)
Evansville, IN 47725 Evansville, IN 47725
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCT! NS FOR THIS PROPERTY. 7DEN LL OF THOSE THAT APPLY.
YES NO CONDITION /YES CONDITION
❑ 1. Will this property be the buyer's primary �[l" ❑ 3. Homestea
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
517 S 9th Ave. • ❑ 0 6. Hydroelectric Power Device
Address(Number and Street)
tHaubsta t, IN 47639 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
Ct . tate 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.
It I (0 --reSs 1 r Not available in all counties.)
_address(Number and Street) —��QQY\s10 ngiiDe- VW, fri,(�A l -�3-D6 -2o0-000 .g o cool
City,State ZIP Code Coun Primary property owner contact name E-mail