HomeMy WebLinkAboutHomestead_Dewitt INDIANA SALES DISCLOSURE FORM SDF 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(aREGIONAL-LT.COM
City,State,and ZIPCode Telephone Number E-mail
Anavieve Creek Carol Warren
Seller] Name as appears on conveyance documen' Seller 2-Name as appears on ranvevnnce document
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Ad (Number and Street) �I to Addr s(Number and Street)
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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 w'th IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller -- /
Anavieve Creek 4 — / " O/> Carol Warren �1 �- ),) l 5
Printed Name a(Seller Sian Date(M.M/DD/YYY) I Printed Name of Seller Sian Date(.M.M/UD/YYYY)
-F.:BUYER(S)/GRAN TEE(S) APPLICATION-FOR7PROpERTY_TAXiDEDUCTIONS JDENTIFY.ALLITEMSTHATAPPLY_ ___
Mellissa Dewitt
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES 0 CONDITION I YES �--O� CONDITION MAY 2 1 2015
•❑ 1.Will this property be the buyer's primary �J I I 3.Homestead
residence? Provide complete address of primary n 0 4.Solar Energy Heat a CI t e5'nenu
residence,including county: ❑ Q 5.Wind Po �g 4 AUDITOR
405 E Clark St.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Owensville. IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ n 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 ❑ Ig 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) ,^rMy / Li
City,State ZIP Code Ca I —01401_ 1. 1� /1-d
County
Primary property owner contact name E-mail