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HomeMy WebLinkAboutHomestead_McKannan (3) INDIANA:SALES DISCLOSURE FORM SDF ID: Page 2 D..PREPARER_ _ . ,- 77-771i,-,1' 7:7-77. --- r._ Karen S.Creek Closing Agent Preparer of the Sales Disclosure Form Title 501 Main Street.Suite 101 Bosse Title Company Address(Number and Street) Company Evansville, IN 47708 812-421-4000 karen.creek(dieffbosse.com City,State,and ZIP Code Telephone Number E-mail .lames H Alexander Jr Joann Alexander Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3056 S 750E 3056 S 750 E Address(Number and Street) Address(Number and Street) Francisco IN 47649 Francisco IN 47649 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and mplete as rrre q�liredd by la ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .}L , !(/ .F .{ L Q /'rte/� :LS> S�ly/r e:44—_ .gnature of Seller 'Sign ore of Seller / ames H Alexander Jr 09/26/13 Joann Alexander 09/26/13 Printed Name fSeller Sian Date(41.H/EM/M1) Printed Name of Seller Sian Date(HM/DO/YYY1') F.BUYER GRANTEE(St_APPLICATION,FOR PROPERW TAX•DEDllGT10NSs IDENTIFY An-ITEMS:THAT APPLY' T. - - Jace D. McKannan Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 6935 E.State Rd 64 Address(Number and Street) Address(Number and Street) Francisco, IN 47649 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 1d ❑ 1.Will this property be the buyer's primary 11 n 3. Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar En a no/ m ; em residence,including county:0 5IoS 150 ❑ n S.Wind Po r e I � hidress(Number and Street) h ❑ ❑ 6. Hydroelectric Power Device —mA C_t S co I hl q 71? 49 6I &1/1 ❑ ❑ 7.Geothermal lW JTgA-Ie2t5t1 /Cooling Device City,State ZIP Code County ❑ Er 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this grope ,�� a resi%enti.l ten .1 property?• vacated for this residence? If yes,provide ❑ ❑ 9.Would you 7; ,,,. • -.gcswI statements for this complete address of residence being vacated, prop tee- 0 ' • pibDgq(gg information including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) ''1 City,State ZIP Code County VL '– L3-a8 13 -bot-548 _009 v