HomeMy WebLinkAboutHomestead_Krepton INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Ronnie Stuckey 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. SELLER(S)/GRANTOR(S)
Michael Moade
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
328 E.Clinton PI.
Address(Number and Street) Address(Number and Street)
Saint Louis, IN 63122 ,
City,State,and ZIP Code City,State,and ZIP Code
X_
mail Telephone Number E-mail
Under penaltie rjury,I he ertify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
co pie as r r
aX ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
natu f eer Signature of Seller
Michael oade 5/1/2020 5/1/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. B TEE(S)-APPLICATION FOR PROPERTY TAX DE IONS-IDENt7LL ITEM 1 , •TAPPLY
Eric Krepton Samantha Krepton i
Buyer 1-Na appears on conveyance document Buyer 2-Name as appe on conveyan-cel l t,e ZY ' .
-Morris St.
Address(Number and Street) Address(Number and Street) 47141}'
8, ,40-.._
Bement, IL 61813 Bement, IL 61813 ` 20_0
E-mail Telephone Number OA 7.1, E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE �QPPLY.
YES NO CONDITION / NO COND //6R
n-V, El 1. Will this property be the buyer's primary 0 3. Homestead
residence? Provide complete address of primary IA 4. So ar nergy Heating/Cooling System
residence, including county:
0 0 5. Wind Power Device
766 S White Church Rd.
Address(Number and Street) 0 0 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson 0 0 7. Geothermal Energy Heating/Cooling Device
City,State P Code County 0 0 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)
Primary property owner contact name E-mail
City,State ZIP Code County