HomeMy WebLinkAboutHomestead_Kruse INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Kristina Watson Escrow Officer
Prepare(of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
E. SELLER(S)/GRANTOR(S)
Tony J. Dillon Sara K. Dillon
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12859 S Scottsdale Dr 12859 S Scottsdale Dr
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
. City, State, and ZIP Code City, State, and ZIP Code
-
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".
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Sigrrat o eRerara+ c, Signature`of Seller"
Tony . Dillon -S' KA / Sara K. Dillon by/6-//5'
Printed Name of Seller Sign Date:(MM/DD/YYYY) Printed Name of Seller Sign'Date MM/DDaZYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Shawn W. Kruse Jessica A. Kruse
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docume
706 Leurel ss( u Ridge Ct 706 Laurelss(Number
n
Address(Number and Street) Address(Number and Street) .4(e/t1
Haubstadt, IN 47639 Haubstadt, IN 47639 44
ail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THQSA '•-4,-,:-P Y.
YES NO CONDITION YES NO CONDITION (it, -9l;,
h.
❑ 1. Will this property be the buyer's primary - ❑ 3. Homestead *J0
residence? Provide complete address of primary /tO
❑ 4. Solar Energy Heating/Cooling System R
residence, including county:
❑ -5. Wind Power Device
12859 S Scottsdale Dr.
Address(Number and Street) ❑ •=1;1-. 6. Hydroelectric Power Device
Haubstadt, IN 47639 IGibson ❑ .,,a. 7. Geothermal Energy Heating/Cooling Device
City, star ZIP Code County ❑__Lila. Is this property a residential rental property?
❑ 'a 2. Does the buyer have a homestead in Indiana to be ❑ —EL-9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
£g-dal-/ -,boa-66/ a u—o0 c'
City, State ZIP Code County Primary property owner contact name E-mail