HomeMy WebLinkAboutHomestead_Skelton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sala Disclosure Form Tide
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Sate) Company
EVANSVILLE.IN 47715 812-402-4553 CHRISTINA(a)REGIONAL-LT.COM
(Sty,State and ZIP Code Telephone Number E-mail
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Kenneth Thomas Patricia Thomas
Seller I-Name appears on cam�'''`e datummt Se.Rer 2-Name as ppsrs an conveyance document
)( 301 aerie `lLWQ('S Ro1. \/ 3ab C ante Sowers Ed.
Addrez X S1� esvt//e A/C o286D2S K Stakes u)1i//e. NC 02a6ac
Under penalties of perjury,I hereby certify that this Sales Disclosure a best of my knowledge and belief,is true,correct
and corn ete as required aw,and is prepared in accordance e I-5. ,"Real Property,I es Disclosure Act".
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.can of Seller o7 3a .S
Kenneth Thomas X 07/30 b/o/s� Patricia Thomas
Printed Name o`Shc.er�� Daft Pee/D Prbttei Name Seiler atr SAUD
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Lam Skelton
Buyer I-Name as appears on conveyance dawmmt Buyer 2-Name as appears on conveyance document
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(Number and Street) Address(lumber 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 Tlrd1TU D aP¢1.Y.
2015
YES NO CONDmON I YES NO CONDITION ��)
Zj' ❑ 1.Will this property be the buyer's primary E ❑ 3.Homestead
residence? Provide complete address of primary ❑ IS 4.Solar Energy-H> em
residence,including county: ❑ N S.Wind PgaiiiSl i&OUNTYAUDITOR
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Address(Number and Saar) ❑ IN 6.Hydroelectric Power Device
Oakland City,IN 47660 Gibson ❑ NI 7.Geothermal Energy Heating/Cooling Device
Dry State ZIP Code County ❑ 0 8.1s this property a residential rental property?
❑ ❑ 2.Does the buyer have homestead in Indiana to be ❑ a 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
-nn Not available in all counties)�/��/y
Addres(Nurrbe."and Saeu) c)(0-I 1-aQ - IDO- �- 1,Jbg•Doy/
Gty,State UP Cade County Primary property ,owner contact name a-mall
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