HomeMy WebLinkAboutHomestead_Wall (2) INDIANA SALES DISCLOSURE FORM SDF ID: Pale 2
D.PREPARER . '
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.SELLER(S)/GRANTOR(S)— - _ - -
Carol D Young
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3008 PLACID PLACE -
Address(Number and Street) Address(Number and Street)
EVANSVII I F IN 47720
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 Ad".
J
.���7 •
(;Signature of Seller. Signature of Seller
Carol D Young a—t17—/
Printed Name of Seller S(pnDati(AM/DD%Ym1 Printed Name of Seller Sian Date(MAI/DD/1TYYI
.F.BUYER(S)/GRANTEE(S)_:.APPLICATION FOR.PROPERTY TAX,DEDUCTIONS_IDENTIFY ALL1TEMS THATAPPLY't_______ _. _ __ _
Cindy A.Wall
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2435 E.Top Hat Rd
Address(Number and Street) Address(Number and Street)
Princeton. IN,47670
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 'UL 3 2014
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heat /C ' stem
residence,including county: 5.4Vind Power
1 °
2435 E Too Hat Rd ❑ GlBt De., OUNTY AUDITOR
Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device
Princeton, IN,47670 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ es 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 ❑ 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)
Cindy A.Wall a /'7
� -ia-u -aoo -ooaaa.0-oa-/
City,State ZIP Code County
Primary property owner contact name E-mail