HomeMy WebLinkAboutHomestead_Flint INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - ,
Timothy Shea Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 _ Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closingsnregionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Estate of Edward A.Jacobs
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
2861 N 175 E
Address(Number and Street) Address(Number and Street)
Patoka, IN 47666
.
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".
Si nature of
By `fl sOr DAAx.A 1
Signature of Seller
Mantes ameof,Per nal Represent rive i/Date
.WO/ III Il t
Printed Name of Seller Sigh Date MM/DD/YYYY) )
Printed Name of Seller �� nr� � -/DD/YYYY)
E RI IvERIS) GRANTEES)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
C Desiree Flint Tyler M. Brames NOV 7 2018
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
11431 Kestrel Court 11431 Kestrel Court
Address(Number and Street) Address(Number and Street
Evansville, IN 47725 Evansville, IN 47725 pIBSON COUNTY AUDITOR
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
i Y 'PQ'�ONUr�ON
❑ 1.Will this property be the buyer's primary (( •-• ❑ 3.Homes[ea
residence? Provide complete address of primary ❑ 0 4.So ar nergy Heating/Cooling System
residence,including county: ❑
602 S Hall Street 0 S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ �7.Geothermal Energy Heating/Cooling Device
City te ZIP Code County ❑ B.Is this property a residential rental property?
❑ 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.
I ly 31 KCe+rel Pf. �v ar,9v;(1,, T1\I Li 770( Not available in all counties.)
5 a0 -Ca-o7 -sco .004, 3 -odR
Address(Number and Street)
Desiree Flint Tyler M. Brames
City,State ZIP Code County Primary property owner contact name E-mail