HomeMy WebLinkAboutHomestead_Bolin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I}:PREPARER .
Christina Latham Title Clerk
Preparer of the Sales Disclosure Form Title
4600 WASHINGTON AVE,SUITE 102 Regional Land Title
Address(Number and Street) Company
1 Evansville,IN 47714
E-mail
L E:SEDGEMGRANTDft(S) ..- - _ -- _ -. _ _ - ., _ ._
- -_ -..
Paul A.Hurst.
Seller 1-Name as appears on tupveyanm a document Seller2-Name as appears on conveyance document
A rexs N tabor'ndStreet) Address(NumberandStreet)
r-
certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
4 .nd'co I axe fired law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
•
fig are of el • Signature of Seller
Paul A.Hurst
Printed NameofSeller Sign Dote(MM/DO/YYY1) Printed Name ofSeller Sign Dute(MM/nDAYYV).
,;F B E(ST APPLICATION FOR S'ROPERTY'TAX DEDUCTIONS-IDENTIFY ALL'1TEMS THAT APPLY . .• - .
James A. Bolin'
Buyer-1•Name a , -nveyance document. Buyer 2-Name as appears on conveyance document
. .._-Lp we lc
Address{Number and Street) Address(Number and Street)
APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO THOSE THAT APP
1 YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary C m ❑ 3.Homestead GI SON COUNTY AUDITOR CB
residence? Provide complete address of primary I LA 4.Solar Energy Heating/Cooling System
residence,including county:
❑ ❑,/ S.Wind Power Device
Address(Number and Street) ❑ Z 6.Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
i Clty,State ZIP Code County
ill ►i 2.Does the buyer have a homestead in Indiana to be ❑ S.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: ow.Please see instruct! ore information.
I Not available in all counties.)
Address(Number and Street)
6-13-11-400-001. 334-006
License/ID/Other Number