HomeMy WebLinkAboutHomestead_McEllhiney INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
.D..P,REPARERr -: . - - - - - - - --- — - - - _.
LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE.IN 47708 812-468-8485
City.State,and ZIP Cade Telephone Number E-mail
_E.SEI LER(S)/GRANTOR(S). ,- T`- - - - .- . -
JOSHI IA K MEFKS
Seller l-Nammee as appears on conveyance 1 d ument Seller 2-Name as appears on conveyance document
Vv�v4.J C SCO S
Address(Number agd Street // e.76(0 ^ Address(Number and Street)
ckiirke
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and coin. et- as requireI sy la • . t • i r: I ared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
s/Z /le- r—n—/
Si. ^tare Seller '/ Signature of Seller
Printed Name of Seller Sign Date(M /an/IT) Printed Name of Seller Sign Date pw/DO/YYY!)
F.BUYER(S)/GRANTEE(S)_APPLICATION.FOR.PROPERTY:TAX:DEDUCTIONS-.IDENTIFYALLITEMS_THAT APPLY_._ _`-,- -
KATIE M.MCELLHINEY
Baer I Name sappears an com gce document Buyer 2-Name as appears on conveyance document
90 oh �• lOA •St
Y1 1 Oam * vi)) /N �.17o Address(Number and Street)
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 NO CONDITION
0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homeste de I
residence? Provide complete address of primary ❑ 1%1 4.Solar Energy Heating/Cooling stem
D9, n . Arlrsi e,)n Eluding county: ❑ 5.Wind Power[ rce2 3 2014
�d vets A'um and Sweet) '� /��t/ yl ❑ s 6.Hydroelectric Power Device
Cl�'�Ueo IN �7��lq C�j ��' ` ❑ 1g 7.Geothermal E 'rgy He.tin' .Coaling Device
City. eZ"Code I County — ., P P rty?
1� ❑ Q 8.Is this NfIA►-' rental ro e
, NI 2.Does the buyer have a homestead in Indiana to be t dint l Y AUDITOR')
UDI
\\ 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) /^ J
Ciry.State ZIPC de County 02ti!_ I a'lo - 10i -Ow - 08D -cog
Primary property owner contact name E-mail