Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Negron
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER'. .°__ Haley 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 ESELLER(S)/GRANTOR(51:_. " -- - Jeremy D.Ducharme Seller'1�-^Name as appears on conveyance document Seller 2-Name as appears on conveyance document Address(Number and Street) Address(Number and Street) < s E-mail Telephone Number A ' 9 3 E-mail Under pe lties of perjury,I e eby certify that this Sales Disclosure,to the best of my knowledgSStgid'belief,is true,correct and co ete as .i ui ed la ,a is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclo •-A t". ilro, 7reofSetter Signature of SellerJy D. Ducharme 9/21/2020 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 DEDUCTION'S—IDENTIFY ALLyI•.TEMS THAT'APPLY. _ Pamela A.Negron Michael T.Negron Buyer 1-Name as appears on conveyance document Buyer2-Name as appears on conveyance document 2412 Wyoming Avenue 2412 Wyoming Avenue Address(Number and Street) Address(Number and Street) Evansville, IN 47720 Evansville, IN 47720 Telephone Number E-mail Telephone Number 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 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 321 N Hall St 5.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ J 7.Geothermal Energy Heating/Cooling Device City,State ZIP ode County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ yi 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: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) 26 .12— 0 7-,o,3 Q O0/. 593- o; c City,State ZIP Code County Primary property owner contact name E-mail