HomeMy WebLinkAboutHomestead_Garrett 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 CHRISTINAf5REGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
.E.SELLER(S)/GRANTOR(S) ;__ : _-_ -. - . _ _.- _ -.'- __ ....:_.
Brian Camden Jr Katherine L Camden
Seller I-Name as appears on conveyance docume t Seller 2-Name as appears on conveyance document
X 14G'L<- -rqf , ti,
Address(Number and Street) Address(Number and.SMeet)
R =:
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".
` ,`
Signature of Seller E— Signature of Seller f
Brian Camden Jr /�(erg cJ Katherine L Camden A-MIS
Printed Name of Seller Stan Date(MM/DD/YYYf Printed Name of Seller Sian Date rM.M/DD/YY'
F:BUYER(S)/GRANTEE(S)rAPPLICATION FOR PROPERTY TAX.DEDUCTIONS-.IDENTIFY ALL ITEMS THAT APPLI`__ - _- ,-.
Kristine A.Garrett
Buver I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
11— liG N Jcason -t .
Address(Number and Street) Address(Number and Street)
71—Qzkland C, tcj 1'IN 41 iP(PO
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL S�H API' "
' YES NO CONDITION I ;vela( COSDITION
YES
I.Will this property be the buyer's primary 3.Homestead f
residence? Provide complete address of primary Ill si 4.Solar Ener ,k},�QQ tiq.g CSQ�QQ1' a System
residence,including county: Wind e ! LU���
n el 119 N Jackson St 5.1A Ind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectri ower evi
Oakland City. IN 47660 Gibson ❑ 0 I /Cooling 7.GeoC}y LIB L Coolino Device
Ciy,State ZIPCode County ta�LiJ�N N. �' ,�TI ro e g
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a rest p p rty
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.
Not available in all counties.)
Address(Number and Street)
b - 14-18 -401 -Oco .026 - Co7
City.State ZIP Code County
Primary property owner contact name E-mail