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HomeMy WebLinkAboutHomestead_Schriver ra INDIANA SALES DISCLOSURE FORM SDF ID: Page 2, D.PREPARER Christina Latham Title Clerk Preparer of the Sales Disclosure Form Title _4703 Theatr Drive Regional Land Title Address(Number and Street) Company Evansville,IN 47715 E-mail E.SELLERRGRANTOR(S) WiIIierrl.l pox Seller 1-Name as appears an conveyance document Seller 2-Name as appears on conveyance document bAlligarjr`''Yea l C,"Gsr,c'rc/ "e- v Address(Number and Street) Address(Number and Street) G-�0-1?-,-s',/, i le .T4/ V 7_"l City,State,and ZIP Code City,State and ZIP Cade ( E-mail Telephone.Number Small Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is_pree • n accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". . — - -. ' `,- / . •.2a..20 Signature of Seller Signature of Seller William J.Cox Printed Name ofSeller Sign Date(MM/op/YYn) Printed Name of Seller Sion Date(MM/DD/YYYY) F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Danjel S.Schrlvor Shales Schrlver Buyer I-Name us apllears an conveyance document Buyer 2-Name as appears on conveyance document coy(o2 w Old Pcincoon ?Id (QL1k)2. W Old Prince ion Rd Address(Number and Street) Address(Number and Street) Owensv(1►e, L u '-fl o(o5 Owen sv-iii.e THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. FILED YES NO CONDITION YES NO CONDITION Ad ❑ 1.Will this property be the buyer's primary 0 El3.Homestead Nov 12 2020 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coolidr residence,including county: `'n-1 C+r_P 5° 'U\I,, f ❑ 0 5.Wind Power Device GIBSON COUNTY AUDITOR CB Address(Number andStreet) ❑ 0 6.Hydroelectric Power Device O '115\I\\\Q. 1 Z 14-2(o(0 C ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State'JP Code 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 ❑ 17I 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) 26-17-01-403-000.204-022 City,State ZIP Code County Primary,property owner contact name E-mail