HomeMy WebLinkAboutHomestead_McCandless (3) INDIANA SALES DISCLOSURE FORM SDF ID: 2015 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Ashley Jo Neice
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
511 S Stormont
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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 Act".
.11NMUt (�, n\n1CP
Signature of Seri Signature of Seller
Ashley Jo Neice 5/14/2015 5/14/2015
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Teresa McCandless
Buyer 1 -Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
227 E Monroe St
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALMo • ' • I• APPLY.
YES NO CONDITION NO CONDITION
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead I •
residence? Provide complete address of primary �f •��e
❑ 0 4. Solar Energ61a� -MI.-•!
residence, including county:
❑ 0 5- Wind Power Device
511 South Stormont Street
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
lPrinceton, IN 47670 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 0 8. Is-this property a residential rental property?
❑ AZ 0
2. Does the buyer have a homestead in Indiana to be ❑ - '9. Would you like to receive tax statements for this
/t 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.
Not available in all counties.)
Address(Number and Street) a(0— I a-0-7- 4 04, -0 00. Q3G-o a
City, State ZIP Code County Primary property owner contact name E-mail