HomeMy WebLinkAboutHomestead_Meeks Trust INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
KATHY RENEE MASTERSON CLOSING AGENT
Pre parer a(the Sale Disclosure Form Title
501 MAIN STREET BOSSE TITLE COMPANY
Address(Number anti Sitar) Company
EVASVILLE IN 47708
EmNI
E.SELLER(S)/GRANTOR(S) •
Thrsie eny Pater
Seller a as appears an conveyance document Seller 2-Name as appears an conveyance document
503 F Oak St
Address(Number and Sant) Address(Number and Street)
Fort Branch IN 4Z6.4&
City.State and ZIP Cade City.Note,and DP Cade
Telephone Number E-mall im E-mail
Under penalties of perjury,I hereby certify that this S osure,to the be knowledge and belief,Is true,correct
and complete as required by law,and is in accordance with IC 6-1.1-5.5,"Rea Sales Disclosure Act".
Signature Stgaatum afSeller �--.
I acip MPny Parker 07112r7019
Thinttidbm[17alrr— Sian Date INM/DOMM Thin rot Name of Seller Sion Date pill/VD MI>)
ER(S)/GRANTEE{APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Della M. Meeks Trust
Boyer I-Name as appean on cony redocnment Buyer2.Nome as appears on mmeyance document
fin - -30 FILED
Address(Nu n Street) Address(Number and Street)
Evansville.IN 47725 Jul 29 2019
/
E-mail Tel .. eNumber GIBCOM Cr11IMTV A110111YRiC
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS TY.IDENTIFY ALL OF AT APPLY.
YES D CONDITION YES NO CO NDn1ON
( ❑ 1.Will this property be the buyer's primary 01141 0 3.Homestead
residence? Provide complete address of prima ❑ q,$plus Energ H 'ng/Coating System \ .
residence,including county: 5.Wind Power Device J
503 E Oak St /� /
Address(Number and Street) 0 2 6.Hydroelectric Power Device t` -
Fort Branch, IN 47648 GIBSON ❑ RI 7.Geothermal Energy Heating/Cooling Device 7
City,Sta IP Cade County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 10 .Would you like to receive tax statements for this
complete address of residence being vacatg property via e-mail. (Provide contact information
including county: /‘I -3 e Ow.P(ease-see-Ins uctionsfor more information.
�9 J >� S�(�-E_ S-1" Not available in all county .
Addes;(Namber and Street) / 026-19-19-101-000 . 764-026
[Ity.Kota ZIP fade , (1 / - 76 / e , L-,�u.�
t + 'f li V C� �J E-mail
Number License/ID/Other Number