HomeMy WebLinkAboutHomestead_Mitchell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
THOMAS L.MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD.,STE. 102 TRUE TITLE SERVICE,LLC
Address(Number and Street) Company
EVANSVILLE,IN 47715
mail
RONALD DUSTIN FRYMAN ! MEGHAN MARIE FRYMAN
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
4060 E Valley Pass 4060 E Valley Pass
!dress(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 • Haubstadt,IN 47639
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 of p to requir by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
IA/ ,vytctJr -c Pr maw\
Signature of Seller Signa ur of Seller
RONALD DUSTIN FRYMAN / e 3 /2019 MEGHAN MARIE FRYMAN 9 / t1 3 /2019
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.'BUYEB(sl/CRANTEE(S1-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE ?ITIE
PP '
`1AREDa D.MITCHELL MEGAN N. MITCHELL
tluyer iwame as appears on conveyance document Buyer 2-Name as appears on conveyance document
6150 Mayfield Court 6150 Mayfield Court SEP 2019
!dress(Number and Street) Address(Number and Street)
Newburgh,IN 47630 Newburgh,IN 47630 j j�
E-mail
ME SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION 0- -coNDi�7C+N
❑ 1.Will this property be the buyer's primary C--Yr111 3.Homestead
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county: ❑ p 5.Wind Power Device
4060 E Valley Pass
Address(Number and Street) ❑ RI 6.Hydroelectric Power Device
I
Haubstadt,
N 47639 Gibson ❑ RI 7./ Geothermal Energy Heating/Cooling Device
City tat ZIP de my ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ l 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provideproperty via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information.
�n including county:
t 1' 15b rY Fjat C't a� a Not available in all counties.) (�
Add (N mberandStre t) �� // "oapD " D®.l• ! 7 D-e, L
,W21:4 4 3D JARED D.MITCHELL&MEGAN N.MITCHELL
City,State ZIP Code ( County Primary property owner contact name E-mail