HomeMy WebLinkAboutHomestead_Farley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Lana Harper Escrow Officer
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Road,Suite A Total Title Services,LLC
Address(Number and Street) Company
Evansville,IN 47715 (
E.SELLER(S)/GRANTOR(S)
Jeff Gray Serena Gray
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
311 W Vine St 311 W Vine St
Address(Number and Street) Address(Number and Street)
Oakland City,IN 47660 Oakland City,IN 47660
true,correct and
tort} lete a requ/r7ed by law,and is prepared in accordance with IC 3-5.5,"Real Prope3y.i Sales Disclosure Act".
i
°tEe Signature of Seller
Jeff Gray 09/15/2020 Serena Gray 09/15/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Miranda K.Farley
Buyer I-Name as appears on conveyance document Buyer2-Name as appears on conveyance document
311W Vine St
Address(Number and Street) Address(Number and Street)
Oakland City,IN 47660
E-mail Telephone Number E•mall
Sep 17 2020
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. 0l/
Y�E_S/ NO CONDITION YES NO CONDITION IVMi
L� El1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ ❑X 4.Solar Energy Heating/Cooling System
residence,including county:
V/IL1?
El ® 5.Wind Power Device
5/I / ,. � 0 0 6.Hydroelectric Power Device
Address(Number and Street)
e
Jr 1 /'f/ CI ❑X 7.Geothermal Energy Heating/Cooling Device
l_ f r //N {7 7640 0 ❑x 8.Is this property a residential rental property?
City,State,and ZIP Code County
0 ❑X 9.Would you like to receive tax statements for this
❑ [� 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county
Address(Number and Street) 26-14-18-104-001. 139-007
Clty,State,and ZIP Code County Primary property owner contact name E-mail
License/ID/Other Number