HomeMy WebLinkAboutHomestead_Davis (3) 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
RICKY JOE HULFACHOR CHAROLETTE GAIL HULFACHOR
Seller 1-Nome as appears on conveyance document Seller 1-Name as appears on conveyance document
2229 South 950 East 2229 South 950 East
Address(Number and Street) Address(Number and Street)
Oakland City,IN 47660 Oakland City,IN 47660
State,and ZIP
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 plete as required b law,and is prepared in accordance wit IC 6 1.1-5.5,"Real rop rty Sa es Disclosure Act".
7lfr,a ' 2 ",./
Si gnat o g f Seller ' nature of Seller
RICKY JOE HULFA OR 08/15/19 iC1(j4 )
CHAROLETTE GAIL HULFAC R 08/15/19
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
DYLAN LEE DAVIS --c
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
306 West Lake Street
Address(Number and Street) Address(Number and Street)
Boonville,IN 47601 V
^ 1g
State,and ZIP Code C,\ u
State,
Telephone Number ,00;:.1400 Pil
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. GO—
YES NO CONDITION YES NO CONDITION G\t3s�N
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ p 4.Solar Energy Heating/Cooling System
residence,including county: ❑ p 5.Wind Power Device
2229 South 950 East
Address(Number and Street) ❑ E 6.Hydroelectric Power Device
Oakland City,IN 47660 Gibson ❑ El 1.Geothermal Energy Heating/Cooling Device
City,State pp Code County ❑ It 8.Is this property a residential rental property?
❑ IA 2.Does the buyer have a homestead in Indiana to be ❑ p 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information.
including county: Not available in all counties.)
Address(Number and Street) DYLAN LEE DAVIS
26.13-22-yc40-Goo.24 e-oo,
City,State ZIP Code County Primary property owner contact name E-mail
Number License/ID/Other Number