HomeMy WebLinkAboutHomestead_Flener INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kathy Masterson CLOSING AGENT
Preparerof theSales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street) Company
Evansville,IN 47708 (
Email
E.SELLER(S)/GRANTOR(S) _
Horizon Property Holdings,LLC,an Indiana limited liability
company
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5101 Kleitz Rd.
Address(Numberand Street) Address(Numberand Street)
Evansville,IN 47720
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number E-mail
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 prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
David F.Greubel,Manager 12/07/2020
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
Michael L.Flener
Buyer 1•Name as appears on conveyance document Buyer2•Name as appears on conveyance document
603 S.9th Ave.
Address(Number and Street) • Address(Number and Street)
Haubstadt,IN 47639
Telephone Number Dec 08 2020 Email
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. ,Ir(--_
YES NO CONDMON YES NO CONDITION ll���.4 SaiRti
19 El1.Will this property be the buyer's primary 0 3.Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of primary ,r 4.Solar Energy Heating/Cooling System
residence,including county:
El 0 5.Wind Power Device
603 S.9th Ave. ❑ J 6.Hydroelectric Power Device
Address(Number and Street)
❑ 7.Geothermal Energy Heating/Cooling Device
Haubstadt,IN 47639 Gibson ❑ 7 8.Is this property a residential rental property?
City,State ZIP Code County
❑ 1:3/9.Would you like to receive tax statements for this
❑ E2.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) 26-23-06-200-000.844-009
City,State ZIP Code County Primary property owner contact nwne E-mail
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 prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informatio Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being fil
czq 12/07/VP
Signature of Buyer 1 Signature of Buyer2/Spouse