Loading...
Homestead_Hill (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 CHRISTINA LATHAM TITLE CLERK Preparer of the Sales Disclosure Form Title 4703 THEATER DRIVE REGIONAL LAND TITLE Address(Number and Street) Company EVANSVILLE, IN 47715 812-402-4553 CHRISTINA(EREGIONAL-LT.COM City,State,and ZIP Code Telephone Number E-mail DONALD R INGRAM JR KARLA I INGRAM Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 554 NORTH CR 900 E 554 NORTH CR 900 F Address(Number and Street) Address(Number and Street) AVON IN 46123 AVON IN 46123 Under penalties of perJJ'u • I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co pie e . lutes I y law,and is pre pared in accordance with(C 6-1.1-5.5,"Real Property Sales Disclosure Act". /` 'l.\/ .L�_ .ice , t—' _ /1 x \-- C'i;\t �,�---C C-il\� Signature of Seller / Signature of Seller t\V` DONALD R INGRAM JR 09/25/2013 KARLA L INGRAM 09125/2013 Printed Name of Seller Sian Date(MM/DD/rrYY) Printed Name of Seller Sian Dare(MM/DO/YYYYI F:.BUYER(S)/GRANTEE(S),APPLICATION,FOR PROPERTY--TAX.DEDUCTIONS'IDENTIFY ALL ITEMS_THAT APPLY, JOSHUA R HILL LYNNE M HILL Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2210 W. Columbia Estates 2210 W.Columbia Estates Address(Number and Street) Address(Number and Street) Princeton, IN.47670 Princeton, IN.47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE r,5 '' 'g�q YES NO CONDITION I YES NO CONDITION e"1 E � 1J 0 ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead 1 L residence? Provide complete address of primary ❑ 12 4.Solar Energy Heatins-/6ryg S},'6tigin residence,including county: ❑ N 5.Wind Power Device I 33 LL X133 2210 W Columbia Estates Address(Number and Street) ❑ NI 6. Hydroelectric Power�R.vice Princeton. I .47670 GIBSON ❑ N 7.Geothermal Energy Mlt4 Device City-State Code County GIBSON.C�(n1l�NNTy AUDITOR ❑ 2.Does the buyer have a homestead in Indiana to he ❑ 12 B. Is this property a resld"entral retttarproporty? 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 available in all counties.) Address(Number and Street) ��,y•�f'ty')� t'y� JOSHUA R HILL - 11-'4-.--.u/' 316.-QR7 City,State ZIP Code County E-mail Primary property owner contact name