HomeMy WebLinkAboutHomestead_Lanham IV INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D P.REPARERi - -
CHRISTOPHER E.CARL ATTORNEY AT LAW
Freparer of the Sales Disclosure Form Tide
101 OPLAZA EAST BLVD.,SUITE 102 TRUE TITLE SERVICE. LLC
Address(Number and Street) Company
EVANSVILLE, INDIANA 47715 812-402-6555 closinosOtruetitlein.com
City,State and ZIPCode Telephone Number E-mail
E:SELLERS)/GRANTOR(S)
ESTATE OF WILT IAM F RICHARDSON
Seller I'Name as a as wpmrs on canveya. :document Seller 2-Name as appears on conveyance document
441/ r',E, , d
Addrrum•ri d S. -') •/ /� A/^6Jc) Address(Number and Street)
Telephone Number E-mail
Under !,;10 alti• of pe:r ,I•bereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and l t let.as re. • ed by law and ' prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signa• e of Sell, Signature of Seller
STEPHEN R .HARDSON Percnnal Rep 04/ /2014
Printed Name of Seller Sian Date IMM/DD/YYYY) Printed Name of Seller ,S n 001/0D/Mill
.F.BUYER S)/GRANTFE(S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - . ....
GEAR GE L. LANHAM. IV MAR 19 2014
0 --Bayer—nmmase • e document Buyer 2-Name as appears on conveyance document
801 Tretter Park Drive .
Address(Number and Sweet) Address(Number and Street) ,..,�i sigrmfj, 1
Fort Branch, Indiana 47648 GIBS II ' oho „NT 1• 1,�.'
Telephone Number r L ' • 1 i 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 • • -. • .0 • 1 ./
❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead N� O N �,
residence? Provide complete address of primary • NII N COUNTY AUDITOR
P P ry �Chlar Energy Pleating/Cooling System
residence,including county: ❑
5.Wind Power Device
801 Tretter Park Drive
Address(Number and Street) ❑ Z 6.Hydroelectric Power Device
Fort Branch, Indiana 47648 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ f 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ z 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.
Address(Number and Street) ••�I p
GEORGE L.LANHAM.IV •U-f9-/8-3a,?.-ODD.(Oy7 -Oc16
City State ZIP Code County
' ',nary property owner con tac l