HomeMy WebLinkAboutHomestead_Blann�3q��,
INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
�D:�PREPARER - * ' �, - • - � "' '� .w: " m i.i �;( . ti �='
LANA C. HARPER CLOSER
Preparero/NeSalaDisclosureForm '�t/e
19 NW 4TH STREET STE 500 TOTAL TITLE SERV�CES. LLC
�Addres(NumberandSaeetJ Campany
EVANSVILLE IN 47708
£-mail
. _�_._ .. ....�,. _. _'_ .. .. . _. .,-., . . , . - .. ,. ..:_
�E:SELLERS GRANTORS��'.�•�.�. - �'.-. �. - �� . .•,,. . � "
ESTATF OF DONAI D F NEWTON
Stller 1� Name atappears an ronveyance davmen[ Seller 2� Name as appears on ronveyvnce dacument
�.fo�) .f /I%/1 irn
Addr Num6era dSVeet) qddren(h'umberond5veetJ
,,h���,,, in� y�� ��o
�C� �.5 e.andZlPCode . Ciry,Smte,andZlPCade
�°/
1 hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is tne, correc[
and co s required by law, an �s prepared in accordance with IC 6d.1-S.S, "Real Proper[y Sales Disclosure Act".
��L �� �NS / "'-'�
Sig/n/y�yre/f(Sel�//er /.qf A�1 /J q q Slgnomrea%Seller
/C�/OFvT /' ' /VC�L✓l�'1 �Vi�lsy ✓�J/O�/'�
Pnn Si n Dafe MH/DD Pr!n[edNumeo Seller Si n Date HM DD
_ UYER S GRANTEE �"APPLICATION �FOR PROPERTY;TAX DEDUGT[ONS- IDENTIF.Y AL� ITEMS THAT APPLY,.,,v �- .' �-°= 3-�`''`�
PATRICIA BLANN
Buyvl-Nameasv mnveyancedocummt Byyr2-Nomeasappearsonronveyonredatument
65
{.'umbera�M SveetJ Addrm (Nvmber ond Street)
flflZl c'TD.�J, S,�/ �{`1 /�+`i0
E-mail Te/e honeNumber E�mail
THE SALFS DISCLOSIIRE iORM MAY BE USED TO APPLY FOA CERTAI,Y DEDURIONS FOR TIi1S PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
rvs no cono�rion
� 1. Will [his property be the buyer's primary ❑ 3. Homes[ead
residence? Provide complete address of primary , Heatlng/Cooling Sys[em
� n`, (e idence,' dudingcounty:
� 5a.� J"�� �r� ��r _ ❑ � S. Wind Power Device
p+pdres(Nump�rand5ueet) /� h ❑ � 6. Hydroeledric Power Device
{Jjrn`'�-T�'r �� '�1�7� C�i""�� ❑ �7,GeochermalEnergyHeating/CoolingDevice
C❑�ry,Sm�IPCade LounN
2. Does [he buyer have a homestead in Indiana to be � � �s this property a residen[ial rental property?
vaca[ed for this residence? If yes, provide ❑ �� Would you like to receive [a�c statementr for [his
complete address of residence being vaca[ed, property via e-mail? (Provide contoct informadon
including county: below. Please see instructions for more information.
Not avai(a61e in al( counties.)
Addr� (Number and Strx[J
� -�a-�8-3oa-o�.o��-��8
Ciry, Smce ZIP Code Caunry
Rimarypmperryownerronma[name E-mail
Under penal[ies of perjury, t hereby certify tha[ [his Sales Disclosure, to the best of my knowledge and belief, is [rue, torrec[
and complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Sewrity and Driver's License/Other numbers are not necessary if no Homes[ead Deduction is
g filed.)
�a�.� ,�. �,r� J
5(qnamreafBvyerl . Signa[vreofBuyer2/Spouse
��T,z � e i r� �.J(� c r� nJ,v a�,�?3/ao�a
Las[Sdigiao%Buyer7/SpauseDriver's Smte Las[SDigitsof5ocialSecunty
License/ID/0(herNum6er Number Liceue/ID/OtherNum6er