HomeMy WebLinkAboutHomestead_Elpers INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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CHRISTINA LATHAM TITLE CLERK
Preparer of the Sala Disclosure Form Title -
4703 THEATER DRIVE - - -REGIONAL-LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINAREGIONAL-LT.COM
Go,,State and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S).t... -.-. - • .. ..
'-Barbara J Singleton
Seller I-Name as appears on conveyance document /, Seller 2-Name as appears on conveyance document
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Addres(Number and Street) Address(Numberand Street)
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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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller (/ Signature of Seller �
Barbara,I Singleton a - / 2.43 t`f �' I �( E
Printed Name of Seller Sian Date(M.M/DD/YYYY) Printed Name af Seller Sall Date(M.N/DD/YYYI)
F.BUYERS GRANTEE(S)-APPLICATION FOR PROPERTY-TAX DEDUCTIONS-IDENTIFY ALL IT TlIAT sew
cAn ela M. El ers
„�.., 1 ,.arr.c�n"pp ears on conveyance dawnent%�� Buyer 2-Name as appears on conveyanc ument
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Address(Number and Street) Address(Number and Street)GIBSON COUN I Y AUDITOR
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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 11D COiDIT10S
1.Will this property be the buyer's primary (� ❑ 3.Homestea
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,includinp.county: ❑
\019)9 S N o.Sc n4 -IYUI-) S.Wind Power Device
\Address(NumberandStreet) s-� ❑ 0 6. Hydroelectric Power Device
r 1, jtJ ?F C b`a-) ❑ 0 7.Geothermal Energy Heating/Cooling Device
Ciry County the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
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)
Angela M.Elpers A b-/8- 3c0 •3 co - o oat. /6, g-Oa
City.State ZIP Code County
Primary property owner contact name E-mail