HomeMy WebLinkAboutHomestead_Holland INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
N D Pl2EPARER
Dana Belcher I Processor
Preparer of the Soles Disclosure Form Title
2301 N. Burkhardt Road First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (
City,State,and ZIP Code Telephone Number E-mail
E i_SELatl(S) GRANTORS) = : . p
Brad Rodgers
erer -Name c ppears onveyance document Seller 2-Name as appears on conveyance document
I.
Add ss Vumber and Street) 1 ��(f/���� V1�� Address(Number and Street)
City,State,
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 c to as req ' by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig e0j o�Se2 f Signature of Seller
Brad Rodgers 10-I i-I q
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F - a _, EIs_(S).4.0PLI,CATIONFORPROPERTY:TAX DEDUCTJONS ;IDENTI,FY ALL`ITEMS,T.HAT_APPLY .
Aaron C. Holland
' �•-'••--- •r,%/S :,in co a c docur ent Buyer 2-Name as appears on con cw ent
Addr ss(Number and Street) Address(Number and Street)
la i k,ID Ck *. 0°3
City,State,
E-mail Telephone Number / E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PERTY. IDENTIFY ALL 0 SET ri P
YES NO CONDITION YES NO CONDITION GIBSO COUNTY AUDITOR
N ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
reside ce? Provide complete address of primary
resid n e,in'�1�.d�'�c n n ar Encr eating/Cooling System
� 0� { V� ID ❑✓ 5.Wind Power Device
Add-e s umber and Street u� r ❑ El 6.Hydroelectric Power Device
7 U f �j Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code 1 County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8•Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑✓ 9.Would you like to receive tax statements for this
complete address of residence being vacated, Ia a-ma . ' e contact information
including county: below.Please see instructions for e information.
Not available in all counties.)
Address(Number and Street)
b-19 -313LI-oa0 .032-0Oci
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number