HomeMy WebLinkAboutHomestead_Davis (35) INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Amy Pollard Escrow Officer
Preparer 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)
Estate of Marethea Elizabeth Davis
Seller 1-Name as appears on conveyance document Seller 2,-Name as appears on conveyance document
2350 W 50 N
•
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 ,
City,State,and ZIP Code City, State,and ZIP Code
X •
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".
X 'f''"a-7 ' g. ( -)Q.0 /Z- 2--
Signature of Seller 7.,., / Signature of Seller
Z id TA "W t.S EX64.4e/30/2019 \O 8/30/2019
Printed Name of Seller i Sign Date(MM/DD/YYYY) Printed Name of Seller e10S%ign Date(MM/DD/YYYY)
F. BUYER(SyGRANTEE(S)-AP_PL=ICATION-FOR-PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT APPLY
Lanc Davis -" Odd
B er 1-,Name as appears on conveyance document Buyer 2-Name as ars on nveyance doGlnt
7 7 E,State Rd �1 t a
A dress(Number and Street) / Address(Number and Street) 6`0 N.
rinceton, IN 47670 _ �t
Telephone Number E-mail
HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN T IS PROPER,T'Y.�DENTIFY ALL--OF-THOSE T. T APPLY.
Es
NO CONDITION / YES NO CONDITION I
��❑ 1 WiilLthis property be the buyer's primary I 3. Homestead
residence? Provide complete address f primary ❑ •
ll 4. Solar Energy Heating/Cooling System
residence, including county: ,--,------
0 2 5. Wind Power-Device
23Addre so(Numberand Street) -- ❑ 2 6.-Hydroelectric Power Device
!ipri - - ❑ 0 7. Geothermal-Ever Heating/Cooling Device
,Princeton, IN 47670 7 Gibson; ��
City, to ZIP Code County 0 Q 8. Is this property a resideritraThre tal property?
0 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statem s for this
vacated for this residence? If yes, provide complete pro • - malt. t info tion
address of residence being vacated, including county: elow. Please see instructions for more ' tion.
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License/ID/Other Number