HomeMy WebLinkAboutHomestead_Pharr t. I
INDIANA SALES DISCLOSURE FORM SDF ID: Paget
DJP,RE11ARERl,
Deena Hendrickson Closing Services
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 closings tnl.reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Christopher S. Kueber
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
9674 W 800 S 9674 W 800 S
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville, IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
• -
FSignature of lee �n n Signature of Seller
ChristopherS. Kueber 1 q 25 Ge%1
Printed Name7Se-leer gn Dat MM/DD/YYVY) Printed Name of Seller Sign Date(NM/aa/YYYYI
PRIBUYERf•Sl7GRANTEE(SI iAP.P.I:IGITIONIEORiP.ROP-ER'TiPsTAXiDEDUC-TIONSklIDENTiIEteALEWEEMSIRHATvAPPIS = I
Cory A. Pharr
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
9674 W 800 S 9674 \V 800 S �t
Address(NumberOwensville and Street) Address(Number d 5tr4et/ p IL F
Owensville, m' 47665 Owensville, IN 47665 g�"'9
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT Ali Y. •
YES NO CONDITION YES NO CONDITION
� GIBSOP' COUNTY A.UD.?OR
in 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: ❑ El 5.Wind Power Device
9674 \V 800 S
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Owensville, IN 47685 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 8. Is this property a residential rental property?
el 2. Does the buyer have a homestead in Indiana to be
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) COry A. Pharr ab-{ -a(-3W -00y. 'NC-NI
City,State ZIP Code County Primary property owner contact name E-mail