HomeMy WebLinkAboutHomestead_Ballard 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 CHRISTINAC@REGIONAL-LT.COM
City,State and ZIP Code Telephone Number E-mail
— _-
'ESELLER(S)/GRANTOR(S) . - -- . —
Gary W Arnold Rebecca N Arnold
Sellerl-Name as appears on conveyance document
• � Seller ?fame ay anae document
C +� r•� _3-252 l oo CI -tCg J,
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Address(Number and Street) Address(Number and Street) ` (
Under penalties of perjury,I hereby certify that this Sales Discloser to the best of my know Age and belief,is true,correct
a . .mplete as:(equi • la , .r epared in accordan \with I -1.1-5. " eal P ape S le Disclosure Act".
Signatures Seller Signatu e of Seller 2-(.,c
S ary W A told \� Rebecca N Arnold �( (S
Printed Name of Seller Sian Date(M.M/DD/YYYYI Printed Name of Seller / Sion Date(M.N/DD/YYtYI
F_BUY'ER S GRANTEE(S)_T.APPLICATION FOR-PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEI T L-- -
Roger A. Ballard Lana K. Ballard AAY�-y� 6J
on conveyance document Buyer 2-Name as appears on conveyance document
)c r 4-'-4 te✓L. S`- cM JUN 2 9 MI5
)( '{'s=i
;�/Numberand Street) Address(Number and Street)
nce_ on —.1:40 LI 7(67O S--2Me/
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THE SALES ISCLOSUREFOR.M MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION .-- . C., . •.
❑ 1.Will this property be the buyer's primary `j n 3. Homestead
residence? Provide complete address of primary �'�'- 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q S.Wind Power Device
1441 N State Road 65
Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device
Princeton. IN 47670 Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device
City, ate ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be El 0 S Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Fl 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
. including co mty: below.Please see instructions for more information.
_ • <er -I-
Address . . - . . .
( um•T and Street /a
b ! i k ■ 1 t .1 _• - 0 (9 -loo - DO •5 :0
—
ity,State ZIPCode Coun
... . owner contact name .•il