HomeMy WebLinkAboutHomestead_Eichmiller INDIANA SALES DISCLOSURE FORM SDP ID: Page 2
H P,REP,AREFF _ ,. _ _, _ __ ,
Scott E Lance Title Agent
Preparer of the Sales Disclosure Form Title
101 East Plaza Bive Ste 102 True Title Services,LLC __ __
Address(Number and Street) Company
Evansville IN.47715 812-402-6555 scottelance(g�vahoo.com
City,State and ZIP Code Telephone Number E-mail
LE SEILER(S)/GRANTOR(s)v :_ _
Donald D Staples Meltina M Staples
Sell I-Name as ap rs conveyance document Seller 2-Name as appears on conveyance document
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Address(Number an Street) Address(Number and Street)
1019t. Doc2t9o0 WAY 40 4147 2.A-acla,t,`S-sWt Ajani,A4$— .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c mplete as requ ed 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 10
I Signature of Seller 14 30
Donald 1 Stanley 07/6,p2014 Meltina M Staples 02IO 'l7014
Printed Name of Seller Sion Date Des/OD/YYYI) Printed Name of Seller Sian Date(MM/Da/YYYI)
1E;BUYER(SVGRANTEE(SVEAP..P.LIGATION lEOR1P,ROP.ERT;YLTAX<bEDUCTIONS IDENT1EY!ALIPITEMSiTHAVAP,PLY,_ - -`
Michael L. Eichrniller Victoria L. Eirhmiller
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2424 E.Warrenton Rd. 2424 E.Warrenton Rd.
Address(Number and Street) Address(Number and Street)
Haubstadt IN.47639 Haubstadt IN.47Q39
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 Y CONDIT
El ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ IA 4.Solar Energy Heating/Cooling System
7, A7 4 r id nce,including coup
y Wn o vyiitm � t ❑ S.Wind Power Device
Address bury ndso- k) A rr,^, ll 9 t ❑ WI 6.Hydroelectric Power Device
I l� Q �N 4� W J ! 61, 01 1 ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State Z ode C unty
❑ [� 2.Does the buyer have a homestead in Indiana to be ID 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.
1 a3-'1j-910 I.(deo- Not available in all counties.)
Address(Number and Street)
Mc ell ,�dmilI
I Cf2
City,State ZIP Code County
Primary property owner contact name E-mail
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