HomeMy WebLinkAboutHomestead_Lamb (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Kristina Watson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
E. SELLER(S)/GRANTOR(S)
Ryan E. Gries Lauren E. Gries
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1340 W Chukar Hollow 1340 W Chukar Hollow
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 co ete as r quired by law, and is prepared in accordance with IC .1-5.5, "Real Property Sales Disclosure Act".
_ nature of-Seller L-Signature-of Seller ,�
Ryan E. Gries __ 0./0/2 /7 Lauren E. Gries (Pi •b 3 I o20 t
Printed Name of Seller __Sign: aate-(MM/DD/YYYY) Printed Name of Seller -k$ 'MM/DD/YYYY)
F. BUYER(S)IGRANTEE(S)—APPLICAT FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM, ti„T'
Tana E. Lamb rc4
/ Buyer 1-Name as appears on conveyance document Buyer 2-Name as app cite dot
,
V\1..Pa�,�cE Di ..t_ .N.\
`Address(Number and Street) / Address(Number and Street) `e *1�• .S�
IN EACVA5 v t\\e, 11.1 41'1 t\ / , S . s'` 0 \sON
4 TN
- _- E-mail Telephone Numb ____ _ _ _iR n E-mail
ES THE-SAL DISCLOSURE FORM MAY BE USED T -L-Y-F CERTAIN DEDUCTIONS THIS PROPERTY. IDENTIFY£i\_ OF THOSE THAT APPLY.
NOYES CONDrTION--- - O CONDITION `- \
0 1. Will this property be the buyer's primary 0 3. Homestead \\
`ice ES
residence? Provide complete address of unary 0 vlgair. Solar Energy Heating/Cooling System A
residence, including county:
0 Wind Power Device
1340 W Chukar Hollow ❑ 6. Hydroelectric Power Device
Address(Number and Street)
_dt, IN 47639 - -- — - n 0 '7. Geothermal EnergyHeating/Cooling Device
Haubstadt, IN Gibson, 9 g
XCounCi , State ZIP Code
ty 0 8. Is this property a residential rental property?
0 2. Does the buyer have a homestead in Indianbe - ❑ 9• W_ o d yo.0 like_to_receive-t sta c�atements for this
vacated for this residence? If yes, provide complete property via-email?'Provide-contact information
address of resid nce being vacated, including county: below. Ple instructions for more-i ormation.
1 I 1 ICU
C�, n y,a -- o available in all counties.
1 ess Number and Streeeet)X
`��l I Lfgl 1 I ti a -1 s -ate- 300 -o0Q .'?s-0t4
City,State ZIP Code Coun Primary property owner contact name E-mail
License/ID/Other Number