HomeMy WebLinkAboutHomestead_Cooper (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
b.titt6citgii.:,',-“--- ..'-: .'-'-, i',---7,--,-,,- . - ] .-1',:-.,, 7---'• --r: ' ---T ' '7, -: - : .', -, • .-:. , . - , , ,, •, .,-' ;, . ,T, :,,--•-z-:-::::---. : ,-- .-..-Haley Lewis 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
:7 .;S•FL'alkiSJARAITTD.,14$).,1,,.LI: -:..7 .: '-•-•,'- -; - I-, :H -:', ;' •, ' ,',.`:._• .: .,1 'i,,..1„''; . .- -7 r;-- - ;S•.. :: ' •.-j--.,.''.--%,`•-:'•. r-f•. : '':-- ;---4
Bruce E.Holder Sherry K.Holder
LFe1191 irtme tappears ifirVrtmcS I , eller 21-13ne as ref)conveyaticedocuriS1.,
I li ___
Addresspbrind SIMI(etm citi ‘.. 32,4 .., (t)b im Adps.sf beid Street) ......., (r), ,,ef
iti 7 -
City,
E-mail
Under p alties of perjury,I her by certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co ete as requ' , by ,
7-d 's prepared in accordance with IC .-1.1-5.5L?j"Real roperty Sales Disclosure Act".
Signature of Seller Signature of Sel rir
Bruce E. Holder 7/3/2020 Sherry K. Holder 7/3/2020
Printed Name of Seller Sign Date(MM/DWYYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.:ILII'4Elt($1/61ANTEE(SY: APAICATI OM FOkigOPERTYTAKDEDUCT,IDASIDENTIFYALL 1TEMSTH. '•,ATIRLy7:-:_.:,, .,_,,;..; ,...,.:':,.: 1
Christopher M.Cooper Emily L.Cooper
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docum t if .ir
..
..
103 S Weber Dr 103 S Weber Dr , ,
Address(Number and Street) Address(Number and Street) '
Haubstadt, IN 47639 Haubstadt, IN 47639 8
41/
`. ,
City,State,and ZIP Code City,State,and ZIP Code e°20
E-mail Telephone Number 004,
E-mail
en,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT AFTLyiti.. —
YES NO CONDITION YES NO CONDITION •1 c/01
Z 0 1.Will this property be the buyer's primary Z 0 3.Homestead tb,y •
residence? Provide complete address of primary 0 Z 4.Solar Energy Heating/Cooling System
residence,including county:
0 z S.Wind Power Device
905 Chickasaw Dr
Address(Number and Street) 0 17] 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson I:] Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 z 8.Is this property a residential rental property?
ky ID 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 z 9.Would you like to receive tax statements for this
complete address of residence being vacated, : property via e-mail?(Provide contact information
i b3 ... ludiejup xi bh.") below.Please see instructions for more information.
Not available in all counties.)
Adtel( m1=1.5t;24) di
i Y 7 9,/ig 61 10-cbi, 9.,/p_/w.
City,State ZIP Code J County
Primary property owner contact name E-mail
L _1