Homestead_Turpin (11) •
INDIANA SALES DISCLOSURE FORM SDP ID: Page 2
LD.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(a)REGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . - . _ .. .-.. - '
Keith B Muckerheide Tami L Muckerheide
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
2608 W Julie Dr 2608 W Julie Or
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury,t 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 1,1-5.5,"Real Property Sales Disclosure Act".iii Cf/fituif../54-
t' Signature of Seller
$gnaNreofSe let \, tg
Keith B Muckerheide / 4- Tami L Muckerheide y ef c/y
Printed Name of Seller Sian Date(301/00 Printed Name of Seller Sian Date(.a.v/DO/YYrn)
F.BUYER S /GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY. - - -
C. • R.Turin Natalie M.Turpin
. on conveyance document Buyer 2-Name as appears on conveyance document
2608 W Julie Dr. 2608 W Julie Dr.
Address(Number and Street) Address(Number and Street)
Princeton, IN,47670 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 YES NO CONDITION OCT d 2014
Q ❑ 1.Will this property be the buyer's primary SI �❑--� 3.Homestead LU'Y
residence? Provide complete address of primary - - L+J 4.Solar Energy Heating/CC ing Sy to
residence,including county: ❑ NI 5.Wind Power De
7608 W Julie Dr LiiHSON COUNTY AUDITOR
Address(Number and Street) n 0 6. Hydroelectric Power Device
Princeton, IN,47670 PRINCETON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,Stare ZIP Code County
❑ TA 2.Does 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 ❑ SI 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.
Address(Number and Street) •1 [-�
( Casey R.Turpin °IL-f/•/S-/O/- 00.3. 353 -0 4,1
City,State ZIP Code County
E-mail 9