HomeMy WebLinkAboutHomestead_Sui INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
WO RPAAEE.
Chris Sullivan Closer '
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (
1_. ,. •2 L s't- 1 01'; S• ti L 3 • 4 } .. '''-1'.'-''
:
Nolan W.Renck Katie J.(Phillips)Renck
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
738 E State St 738 E State St
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
stare,and Ltr Lode state,and ZIP code
& S4-10
Telephone Number 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 plete &
required by law,and is prepared in accordance wit IC -5.5,' 1 Prope Sales Disclosure Act".
Signature of Seller Signature Seller
Nolan W.Renck b lli Katie J. (Phillips)Rene 04.) p q(?,i Z
Printed Name of Seller Sign Da (M DD/YYYY) Printed Name of Seller Sign date(MM/DD/YYYY)
"`B`UFY.I3Rfat. RANtsti 14.:APPIiICAIIIiifift:OR- iVVERtPkltrA DEDUC-!PIONSc ,IDENTIRVAa:-i4I!EMS:T.FiA'I'>AilkV - , 2;:ia x_..z
Nancy Sui
as appears on conveyance document ^•-•^^7-Name as appears on conveyance document
1070 S Spring St
Address(Number and Street) Address(lDmber and Street)
Princeton,IN 47670
j Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP•' ' . I ` • . OF THOSE THAT APPLY. F I LED
YES NO CONDITION NO CONDITION
2(
❑ 1.Will this property be the buyer's primary ES�❑ 3.Homestead
Feb 061010
residence? Provide complete address of primary • n , . , -�y Heating/Cooli
4404----
residence,including county: ❑ 0 5.Wind Power Device GIBSON COUNTY AUDITOR CB
738 E State Street
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeto S IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State PCode County ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ Q 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,
including county: be . ease see instructions re information.
Not available in all counties.) •
Address(Number and Street) Nan Sul 26-12-07-204-001. 315-028
City,State ZIP Code County Primary property owne - II
Number License/ID/Other Number