HomeMy WebLinkAboutHomestead_McKannan (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2.7
j:DrPREPAREtfrV:,_, '. _`_v -. - 2-____,... -_ Z _ . r. - � i=-_1 ,
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(D�REGIONAL-LT.COM
City;State,and ZIP Code Telephone Number E-mail
iE?SELLER(SVGRANTOR(S)i_, :` _ _ 1 » ..__ ' - _._
Kevin R McKannan
Seller 1'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
XAddress(Number and Street) Address(Number and Street)
x r _
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 by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S nature of Seller / Signature of Seller
\'
Kevin R McKannan J /)' ')-y— f3
Printed Name of Seller Sian Date(MM/DO/YYYV) Printed Name ofSeller Sian Date(M.N/00/YYYn
Fs;BUYER S`.GRANTEE(5)RA2PLIGATION',EOR P,ROP,ERTY TAXDEDUGTIONS'i IDENTIFY:ALL'rITEMS THAT'APPLYin r:-.77...C7,77,--'7,:-R:,
Summer A.McKannan eF L/ D
Buyerl-Namame as appears on conveyance document Buyer 2-Name as appears on comrynnce oc me
407 E Old Petersburg Road
Address(Number and Street) Address(Number and Street)
PRINCETON, IN 47670 JAN 16.2014
Telephone Number ��qq��//��I�t r�I�tr� E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOciTFFXhA4PGPUNTY AUDITOR
YES NO CONDITION I YES tin rnCnrfl
❑ 1.Will this ? Provide eeom complete primary of r ❑ 5 3.HomeEtea a/ o �7 D
residence? Provide complete address of primary 4.Solar Energy Heating o m S to
residence,including county: ❑
5.Wind Power Device
407 E Old Petersburg Road
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device JAN 16. 2014
PRINCETON IN 47670 GIBSON ❑ 21 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 0 8.Is this property a residentia ntal •a 8 .
❑ 12 2.Does the buyer have a homestead in Indiana to be j 3.-: • -WWII; l,
vacated for this residence? If yes,provide ❑ 0 9.Would you like to rem g• • ..- ,fa**k ,•161T�`
OR
complete address of residence being vacated, property via e-mail?(Prowl•e contact Information
including county: below.Please see instructions for more information.
Not ava' .. . •s .
Address(Number and Street)
Summer A. Kannan A‘p-OS•3/-).DD- poo.952 -0A
City,State ZIP Code County
Prim tvrwr ary pro contort name ....-