HomeMy WebLinkAboutHomestead_Nixon (2) 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)
mail
E. SELLER(S)/GRANTOR(S)
Laura M. Froemming
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1998 S 550E •
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649
E-mail Telephone Number E-mail
Under penalties of per' , hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
a co te as r ire y law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
r
ignature of eller Signature of Seller
Laura M. Froemming 3/25/2020 3/25/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BU /1TEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Kayce -
- ame as appears on conveyance document Buyer 2-Name as appears on conve:UrII_1r ,
a n c e dpcuen
329 Main St.Apt. 5CIlk
l
Address(Number and Street) - Address(Number and Street)
•
Evansville, IN 47708 ,, ,
USED TO APPLY FOR CERTAIN DEDUCTIO IDENTIFY AL).(gyp : -427 11,:.APPLY.
YES NO CONDITION YE NO CONDITION G ON COUNTY AUDITOR
0 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ating/Cooling System
residence, including county: _
0 El 5. Wind Power Device
1998 S 550 E
Address(Number and Street) 0 II 6. Hydroelectric Power Device
;Francisco, IN 47649 1 Gibson'; ❑ El 7. Geothermal Energy Heating/Cooling Device
y,State ZIP Code County 0 El 8. Is this property a residential rental property?
f..... b(\2. Does the buyer have a homestead in Indiana to be 0 El 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via email? (Provide contact information
address of residence being vacated, including county: for more information.
Not available in all counties.)
Address(Number and Street) 26 _1S 1(t _r2 00
o --9-3 6^oo 1� .
City,State ZIP Code County r' �o _I er coJntact name E-mail
ID/Other Number