Loading...
Homestead_Rexing INDIANA SALES DISCLOSURE FORM SDF ID: Page D.PREPARER KAREN HARBISON VP Preparer of the Sales Disclosure Form Title 803 E STATE RD 68 THE HAUBSTADT STATE BANK Address(Number and Street) mail E.SELLER(S)/GRANTOR(S) WALL ACF WAYNF PROPFRTIFS LLC Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1868 W 950 S Address(Number and Street) Address(Number and Street) FORT BRANCH IN 47648 City,State,and ZIP Code City,State,and ZIP Code E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure, o the b of my knowledge and belief,is true,correct and complete as required aw,and is prepared i cordan a th .1- . , 'Real Property Sales Disclosure Act". f dal ICC Q 6, I arse- rn o -kls aC. Uini hic� jai e,Sjl Signature of Seller l I U Sigiiaturt ofSeller CYNTHIA K KIFSFL. MFMBFR 09/17/2020 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 ALAN MICHAEL REXING Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 15301 OLD PRINCETON R -ll ED D Address(Number and Street) Address(Number and Street) A EVANSVILLE IN 47725 O C T 0 9 2020 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 APP,LY..`� / YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary IZI ❑ 3.Homestead GIBBON UUUNTI' AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 403 N EASTVIEW ST ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device FORT BRANCH IN 47648 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be 0 8.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: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) ✓1 City,State ZIP Code County26--Iq-kg-302 -00) 027-0i6 Primary property owner contact name E-mail License/ID/Other Number