HomeMy WebLinkAboutHomestead_Carroll (3) INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Angela J.Moers Escrow Officer
Preparerof 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)
SPM Development,Inc.,an Indiana corporation doing business as
Reinbrecht Homes
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
304 E SR 68
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
E-mail Telephone Number E-mail
Under penalties of per I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co -•: r=; •y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Ilk
Signal - • eller Signature of Seller
, AO4/vi 4 ,,. 3/28/2020 3/28/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
-.r -,, -1 ...-y -..
Deborah Kay Carroll I-1
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears.�•con+ y ce doinn(.
310 W.Washington St.
Address(Number and Street) Address(Number and Street) APR 1 3 2020
Oakland City,IN 47660 ,
City,
` E-mail Telephone Number GIBSON COUNTY AUDITOR 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
0 ❑ 1. Will this property be the buyer's primary 0 O 3. Homestead
residence? Provide complete address of primary ❑ p 4. Solar Energy Heating/Cooling System
residence,including county:
500 S Cathy Dr. ❑ l 5. Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 i Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ EI 8. Is this property a residential rental property?
❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 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
address of residence being vacated,Including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) 2 6'".1
\"—\ —2`,Z—0' 2g_cy2_4- -
City,State ZIP Code County Primary property owner contact name t-mall
Last 5 digits of Buyer 2 Driver's State Last 5 Digits of Social Security Number ,