HomeMy WebLinkAboutHomestead_Staples INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREBARER '.: ;.':. -. :.. -',^ -. .. , . r . ?,`x F...-,
Lynette Murray Processor
Prepares of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville. IN 47715
..SEliIiER(S)/GRANTOR(S)o _ :`:_.-ai,_);E,._J. ST3 `_ F'.11-f - -.1`!"- Jk&::E 1x`1.._.'D`t. ti- i7 r-;.;cE •:c:'+
Ruth A Wikoo
Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
GA S"; E 75-D 5
Address(Number and Street) Address(Number and Street)
`Fa •1(Far cAr\ -N k-l-Il.e1/4-1/4c
City,State,and ZIP Code City,Stare,and ZIPCode
Telephone Number 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act",
• llf am/l -^Signature ofS eellerr Signature of Seller
Ruth Wilson 0y/ &/7/12Ol4
Printed Name of Seller Sion Dote(MM/0E0Th) I Printed Name o/Seller Sian Date(101/00/11Y1
E.BUYER(S)/GRANTEE(S),z'AP.PLICATION FOR•PROPERTiY,TAX,DEDUCTIONS=-IDENTIFY ALL ITEMS-THATAPPLY ,..,
Trey D Staples Sydney J Hayes
Buyer Name asa pears on n'eyance document Buyer 2-Name as appears on conveyance document
Buyer
,�,PA Ma r
Addres Vvmber Street) �7 j /� Address(Number and ✓
City,State,
FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Y O CONDITION I .NO CONDITION
❑ t.Will this property be the buyer's primal} YES ❑ 3. Homestead
residence? Provide complete address of primary ❑ ❑•/ 4,Solar Ener a n- 'Coo t t
g90I re�tignce,dn� ne guJ t}.
(� f Lam" ❑ ❑✓ 5.Wind Power e 'i
AddrCl4'miberaSd Street) { 7 tu , 76, v' ❑ Q 6. Hydroelectric Power�D eevf 'ZQ\9
/Mute - 'iir I N71 i L� (O 7 ❑ 0 7,Geothermal Energylating/Cooling D . .ce
GO;State ZIP Code I County
❑ ❑ 2. Does the buyer have a homestead in Indiana to he ❑ 0 8.Is this property a residential r roperrtty?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to re pt4 s or this
complete address of residence being vacated, property via e-mail? d6e& ontaccinformation
including county: below. Please stelTStructions for more information.
Not available ill all counties.)
Address(Number and Street) ' n !�1 , /-�/'�
City,State ZIP Code County cQ`••o' 1P 't-s- qV_1- OW . 019 -°Div
Primary property owner contact name E-mail