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HomeMy WebLinkAboutHomestead_McCandlessINDIANA .SALES DISCLOSURE FORM SDF ID SDO ID 719181 Page 2 D.PREPARER - r• Emily Smith Closing Agent Prepares ofthe Sales Disclosure font, Title W.5 S.E. MLK Jr., Blvd. Southwestern Indiana Land Title Inc. ddr ess(Number and Steet) Company Evansville, IN 47713- E. SELLER(S)/GRANTOR(S) Kimberley J. Van Meter Karen K Van Meter Sellerl Name asappearson conveyance document Seller2 Name m appears on conveyance document 9253 E. 125 S. 9253 E. 125 S. Address (Number and Street) Address (Number and Street) Oakland City, IN 47660- Oakland City, IN 47660 - City, Stote, and 21PCade Cu0v, State, and ZIP Code 6-mod I Tele hone 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 c e a. $ regpired by l and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disd�surle ". /tic[ V a.. Nl¢tzcr A , F (t+•t l�nr• J rrLfttac r O I' S;gnatpreo(Selller� �/ D.S('�er b I4ureu K. -Vaq Maf-Or', AfF S' nawre o(,Selfer/ j� � .^ ,sn a, -r VC, �4e/ Sfw�'�t, . Sw -Y-l1 P4 (4 Q(Pt'1 K• („rn� l`t IF YER S GRANTEE S - A ICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Vonda K. Me Candless ayerl- Name as appears on convesnutcAndcumen, Buyer 2 -Nonce as npp.rs on conveyance document 1 E. Oa ree Add7et ' crnnd,Street) Address (Number and Street) Oakland City, IN 47660 - y, State, and ZIP Code City, Stale, and ZIP Code Telephone Number E -mail Tde hone Number Ennui THE SALES DISCLOSU RE FORM MAN' BE US E D TO APPLY TO R CERTA I N DEDUCTIONS FO PERTY. IDENTI OSE THAT APPLY. YES NO CONDITION YES NO CONDITION X ❑ 1. Will this property be the buyer's primary ❑X ❑ 3. Homestead residence? Provide complete address of pri ry eating /Cooling System r' residence, including county: 5. Wind Power Device 321 E. OAK STREET ❑ © 6. Hydroelectric Power Device Oakland City, IN 47660 GIBSON ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? rty, smte zIr code County ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide ❑ © 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) City State ZIP Code Count), Primary pmper[y owner contact name £-mvil 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 information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is b g filed.) _ 7JU �:il�e�a f ss / Ky�t �C si nawreofHuye I - Signature aflluver2/Spouse Ca �,1,IySr (lam Ar-7 ��orda I� Nic ,d( ss H Srinted Legal Name ofBpeer l ign Dow(MM /0o /tym Printed Legal Nome of Buyer 2 1Spouse Sign Date(MN/t1DM'n] Last 5 digits of Buyer l Driver's State Last 5 Digits; of50cial Security Number Last 5 digit of Buyer 2 /Spouse Driver's State Last 5 Digits of Social Security License /lU/Other Number Number License /ID/Other Number