HomeMy WebLinkAboutHomestead_Eckert INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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CHRISTINA LATHAM TITLE CLERK
Preparer of the Salm Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE. IN 47715 812-402-4553 CHRISTINA( REGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
;E:SEI.LER(S)yGRANTOR(S)'_ s -
BRYAN MORRIS MARK MORRIS
Selle rl-Name as appears on conveyance document Seller 2-Name as appears on conveyance document •
/33 N. CL4,nt obco-1i Rd . 55 Pace St. (025
Address(Number and Street) Address(Numb and Street) ,
Veen Gua, . 7LeOSy- ,Sa,n 1-ntn cuoca , CA c'fl[i2
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 pre ar din accordance with IC 6-1.1-5.5,"Real Property Sales Dis osure Act".
4fi Signor e°fSelle ALf //(��•��, (gnatare ofSel, n���x /
,IANFT OFWIC: AS ATTY-IN-FA :/ +• I/2L(1=t3 JANET DEWIG AS ATTY-I T �0 f t- /T-,3
Printed Name of Seller Sian Dare(MM/DDATYYI Printed Name of Seller Sian Date(.N.N/DDS
F.BUYER(S)GRANTEE(S)T_APPLICATIONFOR-PROPERTY TAX'DEDUCTIONSs lDENTIFY.ALL lTEMS;THAT APPLY47 ..1__-.
FAIM Z ECKERT
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
111 S WEBER DRIVE
Address(Number and Street) Address(Number and Street)
HAUBSTADT. IN 47639
mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES
12 ❑ 1.Will this property be the buyer's primary , El • 3. Homeste..
residence? Provide complete address of primary III 151 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0 S.Wind Power Device
111 S WFRFR DRIVE
Address(Number and Street) ❑ fl 6.Hydroelectric Power Device
HAUBSTADT. IN 47639 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Ed 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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 ay.' • • • . oun es.
Address(Number and Street) /
FAIM ZECKL-T v14-/p p -3W- yo3,400. a 9/-009
City,State ZIP Code County
Primary property owner contact name 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 information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
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I /J i
Slgnittur afBuyer1 -" f 1 --] Signature of Buyer2/Spouse
Number License/ID/Other Number