HomeMy WebLinkAboutHomestead_McCord (3)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER -�.. •-" �:-. �_ . . _
Chris Ferauson Closina Aaent
PrepareroJNe5a1cD'udosureForm Title
501 Main Sl. Suite 701 Bosse Tiile Comoanv
Addres (Num6er and Suee[) Company
Evansville, IN 47708
E-mail
E.SELLER S GRANTOR S
LinAa Jean Sfenhens
Sefler 1� Name as appearz on ronveyvntt docqm�mt Sel/er2 - Name as appears on cwveyantt dotumm[
i bO� A�C�.G..YY.. C��.,�nT
ddress(NUm e�an e[) Addrrs(NUmberand5beeoJ
. � �k� �,39
CIry. Srnq and Z/P Code Ciry, Smre, andZlPCade
�
E�mail Tele honeNum6er E-mail
Under penalties of perjury, I hereby cerdfy tha[ this Sales Disclosure, to the best of my knowledge and belief, is kve, corzea
and comple[e u reqn n uired by law, and is re ared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
P P
3 n 4t—ir i
( /Z�O� QY �L%��....�.IAX�V�-'a'
"Sign�urc of5e/ler Signaare o/Seller
Linda Jean Stenhens 70I1qYJ077
Pnn[edh'amro/Seller Si n0a4 MM/DO PnnredNamea Seller SionDate MM/OD
. UYER S G E S- APPLICATION FOR PROPERTY TAX DE CTI - NTIFY ALL ITEMS THAT APPLY "
Darren Scott McCord Jud McCord
B al-Nameasa onveyoncedavmmt rsonconvryuncedarvment
1867 Outer Lake Rd 1867 Outer Lake Rd
Address(Nvm6erand5veet) pddr�(Num6erand5oeecJ
rinceton IN 47670 Princeton. IN 47670
Emoil
TNE SALE$ DISCLOSURE FORM MAY BE USEO TO APPLY FOR CERTAIR UEOURIONS FOR TNIS PROPERTY. IOEhTIFY ALL OF THOSE THAT APPLY.
YES NO CORDITIOY I y�5
❑� ❑ 1. Will this property be the buyer's primary � � 3. Homestead � � � a 55 y l
residence? Provide complete address of prima 4 Sola eadng/Cooling System
residente, including county:
1867 Outer Lake Rd ❑ ❑� 5. Wind Power Device
Addrza(Num.berandSVee[) ❑ Q 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson � � 7, Geo[hermal Energy Heatlng/Cooling Device
Ciry, Smtt LPCade Counry
❑ � 2. Does the buyer have a homestead in indiana to be � ❑� S• �s this property a residendal rental property?
vacated for this residence? If yes, provide ❑ ❑� ��^lould you like to receive tax sta[emen[s for this
tomplete address of residente being vacated, � proper[y via e-mail? (Provide contact informadon
including county: � below. Please see insdvctions for more informa[ion.
� Not availa6le in all coundes)
Addrra (Number and SCtttf
Ciry.SmreLPCode Counry —�� '/�� ���+��•��� � �
Pdmorypmpertymvnerronmc[nome E-mall
Under penaldes of perjury, 1 hereby certify that [his Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordante with IC 6-11-5.5, "Real Property Sales Disdosure Ac[". (Note:
Spouse information(�onnal Security and Driver's Litense/O[her numbers are no[ necessary if no Homestead Deduction is
b�ga, ��II�UW�
�,
.
�� �
Signavn of Buyert 5[qnamrc a/Buye 2/Spouse
I Jude McCnrd 10I14f201?
PnnudLtgolNameo/Buyn1 SignDau(iuM/DO/rYYY) Prin¢dLegalNameo/Buyer2/Spause
�
Las[Sdigiao�Buyer]Driver's Srare Last50igiGSOfSocial5ecunryNumber LastSdigiao%Buyer2/SpouseDnver's Smre LascSDigiaof5ocial5ecuriry
license/ID/OtherNum6er Number License/ID/OlherNumber