HomeMy WebLinkAboutHomestead_Thomas (3) INDIANA SALES DISCLOSURE FORM SOF ID: Page 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;Stare,and ZIP Code Telephone Number E-mail
ESELLER(S)/GRANTOR(S) :..•..., - - . . - : - .- '. ?:.-
larmd McIntire Cassandra Mrintire
Seller I-Name as appea on cm nce document ?per 2-Na eas rs on coaeyance document
2 es k la: I 0(00 D(,tl ■ t t ki 31
Ad ess(Num rand Street) IS nddress( mb and Street)
XCO) hal ) I Lil l 0 0 wtr , l k1 k(l lib
Under enalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
accordance and o lete as required 1 w,and is prepared in a ' IC 6-1.1-5.5,"Real Disclosure Act".
/
'Stgnatur of Seller ('�// Sgnatare of Seller p/
ate ->(61 1 O / ! Cassandra McIntire I/�4//�
Printed Name of Seller Sian ate tM.t/no Printed Name of Seller Sian ate M.M/DD/Yrrt1
F.BUYER S GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY". ' - _
CSteven R.Thomas Edna M.Thomas
a u y e i t- „ ,ems' on conveyanc ocument Byer 2-Name as appears on conveyance document
1. •rk .+ /9 S. M.,-t s7/.
/ar Address(Number and Street)
I' � ( // )
Arn\(C�-N � J if747O nnGCYO------ -27\*/ 4
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES .0 CONDITION Y N 1
1.Will this property be the buyer's primary 3.Homestead GIBSLON COUNTY AUDITOR
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating// ooling System
residence,including county: ❑ r 5.Wind Power Device
9904 Winiard Place
Address(Number and Street) ❑ Si 6. Hydroelectric Power Device
Owensville, I 47665 Gibson n 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
111 2.Does the buyer have a homestead in Indiana to be 111 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.
. •.' .e - I es .
Address(Number and Street)
County A47-/7- O -0100 - OOS. /d9- Oa/
City,State ZIP Code