HomeMy WebLinkAboutHomestead_Donnell (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page2
ID?PREPARER"�_—___-._ _-c - • -
CHRISTINA LENFERS CLOSING AGENT
Prepanrofthe Sala Direlonure Farm Title
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Norther and Street) Company
EVANSVILLE IN 47700 (6121421-4000
City.State and LP Code Telephone Number E-mall
!El SELLER(S)/GRANT
OR(S)�
CAROI .1 WART
Seller 1-Name as mean on tmrey:nee document Seiler 2-Nome as appears an conveyance dotament
1244 VAII ST
Address(Number and Street) Address(Number and Street)
PRINCETON IN 47670
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".
oCak. e q GJ- -
Signotweo)Seller (/ Signaare of Seller
f'AROI .I WART
Pointed Name o/Sella Stan Date(MM/DSMIl1 - Printed Name of Seller Slgn Date lMM/DD/rrrtl
IF.'BUYER(S)/GRANTEE(S)&APPLICATIONFOR.PROPERTY,TAX'DEDUCTI0N5°_IDENTIFYALLtITEMS,THAVAPPLW•-•._ - -•i
PATRICK J,DONNELL
Byer l•Name as appeal on ouve cnce docrmerl Byer 2-Name as appears on conveyance doormen
4)0 7a m(V rMan Or
Address(Number and Sane) Addres(Number and
Peen Q..-tin ytl 974010
_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF TyQjE TFJAT PL
YES NO CONDITION YES NO CONDITION
Be ❑ 1.Will this property be the buyer's primary [ ❑ 3.Hd3)13& COUNTY AUUI'Tt.1R
residence? Provide complete address of primary ❑ �_4.SolarEnerg'Heating/CoolingSystem
r es idence,i uding�county: (�
10 wide ce 111- ❑ LJ 5.Wind Power Device
Cdrew(Number apd Street) ❑ a 6.Hydroelectric Power Device
in a-(>;�n .J `176!70 6-1- .
r ❑ [�' 7.Geothermal Energy Heating/Cooling Device
ary.Vote LPCodr County
❑ [r 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 ❑ �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 d Steer)
Z L I a- 0 w- zo3 003 /69 oast-
Cay.State VP Code County
Pama7 property owner contact name Emau