Loading...
Homestead_Deputy I • INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2 D. PREPARER Amy Pollard Escrow Officer Preparer of the Sales Disclosure Form Title 605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title Address(Number and Street) Company Evansville, Indiana 47713 ( E-mail E. SELLER(S)/GRANTOR(S) David Wilmes Arley Wilmes . Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 10257 S Pheasant Run 10257 S Pheasant Run Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 Haubstadt, IN 47639 C(ty,State,and ZIP Code City, State,and ZIP Code E-mail Under penalties erfu , eb certify that this Sales Disclosu e,to the best of my knowledge and belief, is true,correct and comple as required by law,an ared in accordance wit IC 6-1 1-5.5 "Real Property Sales Disclosure Act". , C.) Signature of Seller Signature of Sell David Wilmes 2/26/2020 Arley Wilmes 2/26/2020 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 THATY Brian R. Deputy Emily A. Deputy I4,6.-1 Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documen 'i. 5418 Kratzville Rd • 5418 Kratzville Rd ��p Address(Number and Street) Address(Number and Street) rr Evansville, IN 47710 Evansville, IN 47710 , 2 - • ) E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAfAP1P}T. YES i NO CONDITION YES O CONDITION 0R C� El 1. Will this property be the buyer's primary El 3. Homestead residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System residence, including county: 0 0 5. Wind Power Device 10257 S Pheasant Run. Address(Number and Street) ❑ 0 6. Hydroelectric Power Device ,_.___._..._...__.__._......._.____..__ _.___ _.. _..__ ❑ 0 7. Geothermal Energy Heating/Cooling Device IHaubstadt, IN 47639 I Gibson: City, e ZIP Code County El 0 8. Is this property a residential rental property? ❑ 2. Does the buyer have a homestead in Indiana to'be 0 0 9. Would you like to receive tax statements for this vacated for this residence? If yes, provide complete property via-email? (Provide contact information taildress of residence b Ig vacated, including county: below. Please see instructions for more information. I Q /��r1 jam\ r`I I r (/,f Not available in all counties.) ress(Numb r and•Sttreet) V ll l r_�JI 7C-/1- C ' dOO -060. ‘00-61612.c7 i tate 1 Coe County Primary property owner contact name E-mail