HomeMy WebLinkAboutHomestead_Parker (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
CHRISTINA LENFERS CLOSING AGENT
Preparer a/the Sale Disclosure Poem TUN
501 MAIN ST STE 101 BOSSE TITLE CO
Aeneas(Number and St eet) Company
EVANSVILLE IN 47708
E-mail
E.SELLER(S)/GRANTOR(S)
10-rror4 I ANGF SIMMS I ,IENNIFFR CHRISTINE SIMMS
Mkt'/-Name as appears on coaveya ace document Seller 2-Name as appmn on cr znce document
s1LI a 6-lie-. ST Soo £ b� Si
Street)Addres(Number and (Number and Street)
44a-I5 � I:1Z 7/ 3 , P'
?L/ i/ a uh.c+nril IA) (47CO3Q
E-mail Telephone Number Email
Under penalties of perjury,I y certify that this Sales Disclosure,to a best o my know] ge d f,is true,correct
and complete a w,and is prepared in accordance with 6-1.1- . ,'Real P e e isclos e Act".
56rnaN le- Agnature ofSd r y / a/)/J
j1Yiod i A CE SIMMS 04/29/2019 JFNNIFER CHRISTINE SIMMG ,/ r t �G 04/200019
Printed Name of Seller Sign Date[MM/DD/IYn1 Printed Name al Seiler Sign Dale fMM/DDITYi
F.SINER[SVCRANT S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
•
LACIE J PARKER
1-Name mane document buyer 2-Name as appears on conveyance document
503 E OAK ST SAME
Address(Number and Street) Address(Number and Street)
F RT CH IN 47648
FILED
Tele one Num E-mail Telephone Number_ play OD 2019 Email
THESALES DISCLOSURE FORM MAYEE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTH OPERTY. IDFTITIFY ALL ETHAT APPLY.
YES NO CONDITION YES r. NO [GNOMON❑ 1.Will this property be the buyer's primary U ❑ 3.Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of primary ng/Cooling System
9)0 esiden �jc7 O including o, -ty:
/ ,� tt ❑ 5.Wind Power Device
Add (Number a In ❑ 6. Hydroelectric Power Device
5 lCi� 49�039 G(�SuL 0 0/ 7.Geothermal Energy Heating/Cooling Device
City,State ZJ County
❑ 2.Does the buyer have a homestead In Indiana to be 0 Is this property a residential rental property?
vacated for this residence? !ryes,provide 0 1 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 Pleacrcee( structionsfor more information.
of available in all coun
m
and
(Number
6-19-31-304-000 . 091-009
City.State ZIP Code County
ryproperty owner contact name Email