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HomeMy WebLinkAboutHomestead_Moody INDIANA SALES DISCLOSURE FORM SDF,ID: _ Page 2 D PREPAI.FI`z_-'-i ...--. _ ..*,_ .'�_ Jerry D.Stilwell Attorney at Law . Preparer of the Sales Disclosure Form . Title 302 N. Prince Street Stilwell Law Office Address(Number and Street) Company Princeton, IN 47670 E-mail E.SELLER(S)/GRANTOR(S)_ Jerry Kristopher Mason James Kevin Mason Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 320 Julian Street 169 E 795 S Address(Number and Street) Address(Number and Street) Elberfeld. IN 47613 Fort Branch, IN 47648 E-mail Under penalties of perjury,I hereby certify that this Sales Disc . u •,to the best of my knowledge and belief,is true,correct an'd complete as re ired by law,and is prepared in accordan a with, C 6-1.1-5.5, Real ro erty Sales Disclosure Act". '/ ` S ri Sign eofSeller v •ignature of Seller Jerry Kristopher Mason James Kevin Mason �y Printed Name of Seller Sign Date(MM/DD/YYY11- Printed Name of Seller =---. a' D rt e(/DD/rn'Y) F BUYERcS)/GRAN.TEE(S)_=,APPLICATION__FORPROPERTY TAX:W ' DU DE CTIONS INTIFYALL.ITEMSTHATAPyyPLY, _ �;_. _ Dale W.Moody Lisa L. Moody OCT Q.'N 2020. Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 6503 Big Cynthiana Road 6503 Bi C nthiana.Road Address(Number and Street) -' - Address(Number and Street) Evansville, IN 47720 Evansville, IN 47720 GIBSON COUNTY AUDITOR "City-,State,and ZIP Code City,State,and ZIP Code 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 Q ❑ 1.Will this property be the buyer's primary 171 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 10815E 700 S ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 171 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Z El 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 ❑ I71 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. 6503 Big Cynthiana Road Not available in all counties.) Address(Number and Street) Evansville, IN 47720 Vanderburgh 6�C \3-3Oo-00Q4 tq--0 01 City,State ZIP Code County Primary property owner contact name - E-mail Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) Signature of Buyerl Signature of Buyer2/Spouse Printed Legal Name of Buyer 1 Sign Date(MM/DD/YYYY) Printed Legal Name of Buyer 2/Spouse Sign Date(MM/DD/YYYY) Last 5 digits of Buyer 1 Driver's State LastS Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security License/ID/Other Number Number License/ID/Other Number