HomeMy WebLinkAboutHomestead_Carpenter INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_D..PREPARER.— - - -
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
._ _ _ _ ._-'____ --.
Joshua Il Adler Shyla M (Manner)Adler
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1412 W Chukar Hollow 1412 W Chukar Hollow
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639 Haubstadt IN 47639
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 6-14-5.5,"Real Pr, pe ty Sales Disclosure Act".
An 311101 124 '0 1 �z�
Sign of Seller Signature o ller t
Joshua D Adler 8/23/2013 Shvla M Adler 8/23/7013
Printed Name of Seller Sian Date(MM/DDRtt'I Printed Name of Seller Sian Date(MM/DD/YTI
IF:.BUYER(S)%GRANTEE(S):S APPLICATIONFOR.PROPERTYTAX,DEDU.CTIONSIIDENTIFY.ALLITEMSTHATAPPLY__ - '
Jonathan C.Carpenter
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on comeyance document
19041 Fenwick Lane
Address(Number and Street) Address(Number and Street)
Evansville, IN 47725
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 NO CONDITION
❑ 1.Will this property be the buyer's primary Q ❑ 3. 0mectn=A
residence? Provide complete address of primary 1__I -Li 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q
5.Wind FILED
302 S Hill Crest St
Address(Number and Street) ❑ Q 6. Hydro r
Ft. Branch. IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
Ciry State ZIP Code County ❑ Atl(� 2 7a r
❑ � 2.Does the buyer have a homestead in Indiana to be
Q 8.Is this propEi`Y)*r2CEaltxct al rental property?
vacated for this residence? If yes,provide ❑ 5 9.Would you Ike to receive ax statements for this
complete address of residence being vacated, property v',;-, ' A; ti re contact information
P g belo I iiitnryP• re information.
including county: 1 $i Ia n i C �f( f
//f��1 ( Not v 1 D I co noes. /^
Address(Number and Street) a`^.. (9-19- Io 1 000. OS7 /1 1,
City,State ZIP Code CountyE•� 1 lJ(X-t./L1-Ll l..e--/ _�1J p�
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
bei a filed.) . e
�
'nature of Buyer! Signature of Buyer2/Spouse
L Jonathan C Carpenter 8/23/7013