HomeMy WebLinkAboutHomestead_Patterson (3)INDIANA SALES DISCLOSURE FORM SDF ID: ' ' Pa e 2
D:PREPARER " �_
Peaav A. Conner Title Assistant
PreparvlofrheSalaDisdmureFOrm Ttle
101 N. Green River Road Suite 130 Trusiworthv Land Title Co.. Inc.
,ddr¢s (Num6v1 and Street) Company
Evansville. IN 47715
E-mail
£.�SELLER S GRANTOR S _ � � � � � � �
Kari J. Comwell Ma[puerv K Comwell
Seller 1- Name as apparrs om m�veyonre document Seller 2� Name as appears am m�veyonre dxummr
46 E. 150 South 46 E. 150 South
Addrers(NumberondStreet) Addre�s(NumberondStree[)
Prinr.eton.IN 47670 ppnCeton IN 47670
Ciry, Sm[4 and LP Code Ciry, SmtG and ZlP lade
E-mnil Tefe haneNUmber E-mai/
Under penal[ies of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co plete a,s required by law, and is prepared in accordance (w�ith �IC 6-1.1•5.5, "Real Prope/rt`t Sales Disclosure Ac[".
�P'u � i� �t1z,� � %/ LG.c,a.f�1.«s � �-G�aau`f�
� Si natureo( er —'$qna�eller �
Kari J. Comwell 2I14/2012 Marflu� K. Comwell 2I14I2012
Pnn:edNameolSeller SipnDat[IHH/OD PnntNNameo Sefler S%O110atejMH/DD/YYYY
S GRA 5-APPLICATION FOR PROPERTY TAX DED ALL ITEMS THAT APPLY �
La R. Patterson Wanda F. Patterson
rI�A'ameasa amm�veyvnredocument evyerl-Nameasa onveyuncedocument
9 Sliooer Kev Road 709 Slipoer Kev Road
Addras (Number and StreetJ Addras (Number ond Strttt)
Aoollo Beach. Fl 33572 Apollo Beach. FL 33572
�ry.5mlG md LP Code liry, Smte, ond ZlPlode
E-mail
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLI' FOR CERTAI.�' DEDURIOYS FOR TXIS PROPERTY. IDEhTIFY ALL OF THOSE THAT APPLY.
YFS NO CO\'DITIO\ YFS ONDITIO.�'
Q � 1. Will this property be the buyer's primary Q✓ � 3. Home
residence? Provide complete address of primary 4. Solar Energy Hea[ing/Cooling System
residence, including county:
1497 N State Rnad 65 ❑ ❑✓ 5. Wind Power Device
Addras(Numberand5treetJ ❑ ❑✓ 6. Hydroelectric Power Device
Princeton. IN 47670 Gibson � Q 7, Geothermal Energy Heating/Cooling Device
Ciry, Srutt ZIPCode Counry
� Q 2. Does [he buyer have a homestead in Indiana to be � � 8• �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ ❑� 9• Would you like to receive tare sta[ements for this
comple[e address of residence being vaca[ed, property via e-mail? (Provide contact informadon
including county: below. Please see instructions for more information.
Not available in all counties.)
Address (Num6er and Stree[)
ab-os-yo -�9y-ooa.o4w-oa�
Ciry, Srnre Z/PCOde Counry
Pnmary properryoumer ronmc[ name £-mail
Under penalties of perjury, t 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-S.S, "Real Property Sales Disclosure Aa". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein filed.)
_.�- �Tl� F. �— a�r� �,. �
Sg mrtafBUyerl SignomreofBuyer?/Spouse �
�rv R Pattarcon 9/14I9019 Wanda F. Pattersnn 2I74I2012
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