HomeMy WebLinkAboutHomestead_Conder (2) INDIANA SALES'DISCLOSURE FORM SDF ID: Page 2 r.
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CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND
Address(Number and Street) Company
EVANSVILLE IN 47715 8124024553 NA
City,State.and ZIP Code Telephone Number E-mail
'E.'SELLER(S)/,GRANTOR(S).72 _. ._._._ -�. - - = ---'- -.-.�� ___• _ 1_1r-
JOSHUA MAIKRAN7
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1860 I AKEWOOD CIRCA E
Address(Number and Street) Address(Number and Street)
FRANCISCO IN 47649
Telephone 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig E tyre of Seller Signature of Seller
JOSHUA MAIKRANZ >4 7- Q3 -0
Printed Name of Seller Sian Date(M.M/0a/rOY) Printed Name of Seller Sian Date(M.M/0a/YYYI'1
.F6BUYER GRANTEE(S),TAPPLICATION.FOR PR OPERTYTAY4 DEDU.CTIONS:-.IDENTIFYALL'ITEMSTHATAPPLY', _JEREMY J CONDER
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
824 N POLK DRIVE
Address(Number and Street) Address(Number and Street)
OAKLAND CITY IN 47660
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 NO CONDITION
n 1.Will this property be the buyer's primary F ❑ 3.Homestead
residence? Provide complete address of primary n 0• 4.Solar Energy Heating/Cooling System
residence,including county: ❑
824 N POI K DRIVE 5.Wind Power Device
Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device
OAKLAND CI IN 47660 GIBSON n 0• 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
111 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide n 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 available in all counties.)
Address(Number and Street)
JEREMY J CONDER a6-I(-1 -aol-a,0.1 g 7-x'7
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.)
Gramme ofBuyerl Signature of Buyer2/Spouse
JFRFMY I CONDFR )& 0�/F3�70/3
Number License/ID/Other Number