HomeMy WebLinkAboutHomestead_Cushman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Q.PREPARER.
Sherri S Hudson Closing Manager
Preparerofthe Sala 06elowre ram Title
501 Main Street.Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville.IN 47708
E-mail
E.SELLER(S)/GRANTOR(S): -
Vinia May Sramman
Seller •Name as appears
appears on conveyance document 1 A, Seller 2-Name in appears w conveyance document
4� k) O S i n S4m-rksrr r r Licer&
Address(Number and Street) Ain,- Address(Number and Street)
Fen-H3 r a..1 c-1i i' 6 `ie
Clry,
that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
andte Jplete as
required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/ 41- �- /224
i
Signature of Seiler o Slgna ,re of Seller
rS•/
Minis May Seammnn Si` D/e2 CD/9
PHsteriNmhe oTSeller \ Sian Dote{VM/DDMYS) Printed Name of&!ler Sipa Date(MNiaDTr1)
P-B(JYER(S)/GRANTEE(SP:APPLICATION FOR PROPERTY-TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY`: -. . . . .
/viler C.Cushman -V
( Boyer I-Nansensa t!mrveyance document Buyer 2-Name as appean on cmeryance document
isieftpq Creek Drive
Address(Number and Street) Address(Number and Serest)
Owensvife, IN 47665
TO APPLY FOR CERTAIN DEDUCTIONS FORTfPROPERTY.IDENTIIYALL OF TIIOSE THAT APP „S
NO CONDITION YES NO CONDmON
❑ ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead_ GIBSON COUNTY AUDITOR CB
residence? Provide complete address of prima ��—,tsiir en y Heating/Cooling System
residence,including county: ❑ m 5.Wind Power Device
Address(Number and Street) 0 m 6.Hydroelectric Power Device
0 0 7.Geothermal Energy Heating/Cooling Device
City-State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ &] 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 instfllttions for more information.
Not available in all counties.)
Address(Number and Street) / 26-19-19-103-000. 377-026
Ory,State ZIP Code Count l
primaryop prerly cmmctname E•mall
Number License/ID/Other Number