HomeMy WebLinkAboutHomestead_Hurley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - - - - -
CHRISTOPHER E.CARL ATTORNEY AT LAW
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD.,SUITE 102 TRUE TITLE SERVICE. LLC
Address(Number and Street) Company
EVANSVILLE, INDIANA 47715 812-402-6555 closinos(aftruetitlein.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . . -.
BYRON EDWARD WHITEHFAD
Seller 1-Nome as appears an conveyance document Seller 2-Name as appears an conveyance document
5742 F 1300 S
Address(Number and Street) Address(Number and Street)
Evansville Indiana 47725
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 requi • and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
natu of5eller
PEA) Signature of Seller
BYRON EDWARD WHITFHFAD 07/ 1 1 /2015
Printed Name of Seller Sian Date IMM/OD/YYYYI Printed Name of Seller ,Sion Date(MM/DD/1'YYI)
F.BUYER(S)/GRANTEE(S)-.APPLICATION:FOR PROPERTY TAX DEDUCTIONS-IDENTIFY.AIL ITEMS.THATAPPJ . ' . _ ,
CARMEN HURLEY IL
Buyer Buyer l-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
5242 Address E( umbe and Address(A'umberand Street) Address(Number and Street) 'yo 46,6
Evansville, Indiana 47725 G2
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. Ty
YES NO CONDITION I YES NO CONDITION tA/,
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead 0
residence? Provide complete address of primary ❑ g 4.Solar Energy Heating/Cooling System
residence,including county: t.
5242E 1300 S ❑ 19 5.lti Ind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Evansville. Indiana 47725 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State 7. Code County
❑ 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 ❑ 0 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) CIO�d�3- //p �d/ //O - U '1 CL
CARMEN HURLEY �(/ (P oC /
City,State ZIP Code County
Primary property owner contact name E-mail