HomeMy WebLinkAboutHomestead_Davis (24) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
' D,PREPARER '
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
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E,SELLERS)/GRANTOR(S) .
Equity Trust Company Custodian FBO Laila Rayes Schafer IRA
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Address(Number and Street.) Address(Number and Street)
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify th t this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and complete as rr quired by 1 ,and is prepay in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
,
Printed Name of Seller Sign Date(14M/DD/YYYY) Printed Name of Seller k Sign Date(MM/DD/YYYY)
-..c)F.BUYER . - A
(S)/GRANTEE(S) APPLICATION FOR PROPERTY TAX DEDUCTIONS IDEN ' Y A S THAT APPLY
Leigh Ann Davis ti%
Buyer 1-Name as appears on conveyance document Buyer 2-Name as app s n co eyance docuz nIL.
901 E.Baseline Rd.,Apt 922 ,, C.\$ 1f
Address(Number and Street) Address(Number and Street)
Evansville,IN 47725 O +il• P�O\�C1
E-mail Telephone Number
C)� E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THACY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary N ❑ 3.Homestead
residence? Provide complete address of primary
residence,including county: ❑ 0 4.Solar Energy Heating/Cooling System
❑ n 5.Wind Power Device
923 Main St. ❑ 0 6.Hydroelectric Power Device
Address(Number and Street)
❑ 0 7.Geothermal Energy Heating/Cooling Device
Princeton,IN 47670 Gibson ❑ 0 8.Is this property a residential rental property?
City,State ZIP Code County
❑ 0 9.Would you like to receive tax statements for this
❑ El 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)
tLii-1 40kil 3o u --(ol i—®
City,State ZIP Code County Primary property owner contact name E-mail
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`'"-'-' License/ID/Other Number
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