HomeMy WebLinkAboutHomestead_Yates (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2014 Page 2
D. PREPARER
Teresa Holifield Escrow Officer
Preparer of the Sates Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
John E McKinney
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
207 N First St
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 ,
-,
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 comp) to as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
l3 ( 6 . z) -4/(
)
Si at e of Seller Signature of Seller
John E McKinney 1/16/2014 1/16/2014
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Patrick W Yates Tricia J Yates
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
203 12th Street 203 12th Street
Address(Number and Street) Address(Number and Street)
Carmi, IN 62821 Carmi, IN 62821
THE SA S DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y 0 CONDITION -
❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar nergy Heating/Cooling System
residence, including county:
207 North First Street ❑ 0 5. Wind Power Ir,p�
Address(Number and Street) ❑ 0 6. Hydroelectri wpr evic
Owensville, IN 47665 Gibson
1 ❑ 0 7. Geothermal nergy ea ing oo mg Device
ty, StZIPCode County 0 0 8. Is this property a yd I I property?
P P Y J�IV B�t�i �8�
2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-ema' (Provide to formation
/1 address of residence being vacated, including county: below. Please 9,: !,= jr;li„or more information.
gaS/lcun,I s'1_& A ¶S'D /w7 �t Not avail a
l l TyH fW Cf �5� I�� AUDITOR
Address(Number an Street) a _i O-7_I o'_Oo o, l t-i-S-Cot
Allyn s Ci-e xt loz eay ILM-Pie_, 0 11 of
Ctry,StateZlPCode r County
Pnmary property owner contact name E-mail