HomeMy WebLinkAboutHomestead_Schenk INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - .
Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteamefirstadvantagetitle.com
City,State,and ZIP Cade Telephone Number E-mail
:E.SELLER(S)/GRANTOR(S) ::: - . . - •- - ;,.w. ;_ °; ,:..;::..
Bethany Lance
xllerl-Digs appeare.Pnlcanvrsnn merit Seller 2-home as appears on conveyance document
Address(Number and Street) UJ Address(Number and Street)
U1SAli, 1 ' Pta Li11I0
E-mail 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 c let s required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature Seller /,^ Signature of Seller
Bethany Lance ) 1K"'ft
Printed Name of Seller Sian Date WHAM/MY) Printed Name of Seller .CI r I]ab• MH/DD/YYYI)
`F.;BUYEREVGRANTEEIS)LAP,PGICATION:FORPROPERTY_TAX,DEOUCTIONSADENTIEY,ALL ITE
,T A APP
�Collet J Schenk -,
Bbzr nmearippears an conveyance dory eat Buyer 2-Name as appears on conveyance d e
% 1---at rm., < I BAR052019
Address Wm]ber and Street) I �, I y' Address(Number and Street) �1
tVGt.rS 1
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES CONDITION I YES —NO—CONDITION
1.Will this property be the buyer's primary �❑ 3.Homestead
residence? Provide complete address of primary -4--Solar Energy Heating/Cooling System
sl ce,iI udina ounty
v�yre� / - /� ❑ ❑✓ S.Wind Power Device
Addre6(Nu road5(r ) ( /,wI '/ ❑ (� 6.Hydroelectric Power Device
v ""WI ,Vi I'�P, ( I q (pi ❑ Q 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 08.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 171 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)
*20— l7 . A 9 - deo_ ooy. 9/30 -oA/
City,State ZIP Code County
Primary property owner contact name E-mail
Under
Number License/ID/Other Number