HomeMy WebLinkAboutHomestead_Perkins INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
CHRISTINA LENFERS CLOSING AGENT
Preparer of the Sales Disclosure Farm Title
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Sheet) Company
EVANSVILLE IN 47708
E-mail
E SELLER(S)/GRANTOR(S)
FLI7ARETH N SCHI ACKS
Sd Idilainlasap 43 ppnc— onveyancedocvment� Seller Z-Name as appears on conveyance document
Addrmf umber andStreet t' ///� /, �S7I� Address(Number and Street)
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".
"Ns ( — N . . A9��1t,
• nature ofSell r Signature of Seller
ELIZABFTH-N-RCFIrARK,� 07/75/2019
el Name of Seller Sign Date(MM/OO/vYYY) Printed Name of Seller Sign Date(MN/tD/YYYY)
I(BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
KEITH EDWARD PERKINS I
Buyer I•Name as appears on conveyance clot meat Buyer Z-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street)
OAKLAND CITY IN 47660
ary. (
E-mail "Telephone Number Aug 07 2010 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR*THIS PROPERTY. IDENTIFY ALL OF THOSE HAT APPLY.
YES NO CONDITION ( YES CONDITION �—
�] 11.Will this property be the buyer's primary �0 3.Home GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary \" 9. 'tSolar Energy Heating/Cooling System
residence,including county:
231 E COLUMBIA ❑ g 5.Wind Power Device
Address(Number and Street) 0 ❑�-, .Hydroelectric Power Device
OAKLAND ITY IN 47660 GIBSON ❑ Lams/6 Geothermal Energy Heating/Cooling Device
City,Sate ZIP de County
0 2.Does the buyer have a homestead in Indiana to be ❑ 8 s this property a residential rental property?
vacated for this residence? If yes,provide 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, ap-erty via e-mail?(Piavides,ontact information
including county: / below.Please see instructions fo ore information.
Nat available in all counties.)
Address(Number and Street)
26-14-18-403-001. 283-007
City,State ZIP Code County
'mew property owner contact name E-mail
Number License/ID/Other Number