HomeMy WebLinkAboutHomestead_Campbell (2) NDIANA SALES DISCLOSURE FORM SDF ID: 2014 Page 2
D. PREPARER .
Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Form Tale
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville.Indiana 47713. (812)425-0055 kathy@swinland.com
City.State,and ZIP Code Telephone Number E-mad
E.,SELLER(S)I GRANTOR(S)
Todd M.Pennington Kendra K.Pennington
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2990 W State Road 68 2990 W State Road 68
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt,IN 47639
,
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 I. and is.prepared in accordance with IC 6-1.1-5.5,"Recall Property Sales Disclosure Act".
Sr✓ttob. i j U g-elt—7 L /�- /Itazeit _ -
S' nature of Seller v nature of Seller %
odd M.Pennington / 9/12/2014 endra K.Pennington 9/122014
Printed Name of Seller Sign Date(MM?1D/YYYY) Printed Name of Seller Sign Date(MM/DO/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Clint J.Campbell Megan M.Campbell
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
7284 S.450 West 7284 S.450 West
Address(Number and Street) Address(Number and Street)
OCensvate,IN
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY SeF11500014AT APPLY.
YES � NO CONDITION YES NO CONDITION
7`"' ❑ 1. Will this property be the buyer's primary ❑ 3. Homestead ' •_a
residence? Provide complete address of primary 0 4. Solar En W�I ',I. •;e••
residence,including county: ��S�t• • 'YffARUR
❑ 0 5. Wind Power Device
2990 West State Road 68
'I Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Haubstadt,IN 47639 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City.State ZIP Code County ❑ 0 8. Is this property a residential rental property?
1p
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you tike to receive tax statements for this
vacated for this residence? If yes,provide complete property via-email? (Provide contact information
address of residence being vacated,including county: below. Please see instructions for more information.
p(-f L / r Not available in all counties.)
Less �� eJ(/�Sr
.7234
tltlress(Number and Street) •
f�,-p�/ + �.e ,L VI��, n\I 4--VU 5 G.l Us 1.1- •• ,-a -. 3- o. -ow. a t I-aa
�'U v l�'� nmary property owner coot=name Ema3
Gry,State ZIP Code - County