HomeMy WebLinkAboutHomestead_Parker INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
PREPARER , _Li — _, ` . � - - t.._, s:x >T-- -s_ ,. .:-.a — _ ..77-.- - .- _.rr `. _'-:
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@REGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
E SE ER(5]DRANTER(S)1< 1r-S:: "-- 77r-b77',:. ?- :- -"7.117:-:.-l'Y
Richard A McCarty Jr
Seller I-Name y(appears on Co veyance document ` Seller 2-Name as appears on conveyance document
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Address(Nu bet and Street) Address(Number and Street)
X IK o. /sDA- .A_ 37 �= _ s;.
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 compl equir- by latrepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature 6Ell(SSeller /,,ff,,//�(// p S Signature of Seller
Richard A McCarty Jr x 3 . YY
Printed Name o(Sefler Sian D eO�.//D/11YP) Printed Name of Seller Sian Date(M.M/DO/YMII
frIBUYERgIGRANTEE(Sfa'APPII CATION:EOR{PROPERT,Y2 TAX DEDUGTIONS IDENTIEY,ALL:ITEMSiTHATsAP.RLYT —
Jordan Parker
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
301 E ELM ST
Address(Number and Street) Address(Number and Street)
HAUBSTADT IN 47639 F
THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION MAR 13 2014
51 ❑ 1.Will this property be the buyer's primary SI ❑ 3.Homestead
residence? Provide complete address of primary ❑ 151 4.Solar Energy Hed ( g "NTT'FY�Nggste -
301 E Fl M STresidence,including county: ❑ GI 5.Wind Pow9J icC'O•"UAPmUDITOR
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
HAUBSTADT IN 47639 GIBSON ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP de County
El 2.Does 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 ❑ FA 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.
�(Nott available in all counties.)//�[//y�
Address(Number and Street) Jordan Parker C V—I I-1 —30LI- ✓-b .4 I;a,
Ciy,State ZIPCode County
Primary properry owner contact name E-mail