HomeMy WebLinkAboutHomestead_Carroll INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Jennifer Wade Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closines(tt�reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Todd A. Briaas
Seller I.Name as appears on conveyance document Seller I-Name as appears on conveyance document
191 Roosevelt Dr
Address(Number and Street) Address(Number and Street)
Princeton. IN 47670
Telephone Number E-mail
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-L1-5.5,"Real Property Sales Disclosure Act".
/tom 4 J
Signature of Seller Signature of Seller
Todd A. Briggs Pr' Seller Sg Date(MA td OD/YYYY) Printed Name of Seller Sign Date(MMJDD/YM)
=F..;BUYERISI/GRAt EE(S)LAPP.L16t1TI0NiFORiRROEERT LIFAXIDEDUCTIONSIDENTIE AL-ITEMS '%A_RPL`Y� . - I
William J. Carroll j r
,...rs on conveyance document Buyer 2-Name as appears on conveyance documen '
523 Walnut St _,
Address(Number anti Street) Address(Dumber and Street) �p
Oakland City. IN 47660 AUG
J 2n
Telephone Number 2i c.0t )!1( E-mail
`fAf n.�
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. a L(/r
YES '0 CONDITION YES NO CONDITION ��R
[ ❑ 1.Will this property be the buyer's primary �❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
191 Roosevelt Avenue 0 5.Wind Power Device
Address(Number and s et) ❑ 0 6,Hydroelectric Power Device
Princeton, IN 670 Gibson ❑ 0 /7.Geothermal Energy Heating/Cooling Device
City,State ZIP C a County ❑ ,L—t1,/ g. 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 property via e-mail?(Provide contact information
complete address of residence being vacated, below. Please see instructions for more information.
including county:
Not in all counties.) [�
Address(Number and Street) z4_ I Z— D l/ - 203 000 A-10 0 O /
William J. Carroll
City,State ZIP Cade County Primary property Owner Contact name E-mail