HomeMy WebLinkAboutHomestead_Earl INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER ,rr .. r - . , `: ,.N.„ , :44, J , a: ��' . ,a A. 1, 1
Haley Lewis Escrow Officer
Preparer of the Sales Disclosure Form Title
7321 Eagle Crest Blvd.Ste.A Foreman Watson Land Title, LLC
Address(Number and Street) Company
Evansville,IN 47715
E-mail
E.SELLER(S)/GRANTOR(S), . ,. s f, ,- . .Q-,.u, ,, . . , . 4
Ellis Estates,LLC
Sc er 1-1' me as appears on conveyance document Seller 2-Name as appears on conveyance document
oboi52—
Address(Number and Street) Address(Number and Street)
PivI IIN 1(`10
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".
Signature of Seller Signature of Seller
Brian Ellis. Manager 2/14/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
,.BUYER(S)/GRANTEE(S =APPLICATION FO
R-PROPERTY TAX DEDUCTIONS—IDENTIFY ALL IT IA,' • APB,0 -:.'N
aron Earl
• —
- ame as appears on conveyance document Buyer 2-Name as appears on conveyance document
306 S Second St FEB 2 5 2020
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION .,
WI ❑ 1.Will this property be the buyer's primary C127 ❑ 3.Homesteads
residence? Provide complete address of primary `"❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑
306 S Second St 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
;6-/7 -/2 _010V-ODD.5"$ 7 -d ..2r
City,State ZIP Code County
Primary property owner contact name E-mail