HomeMy WebLinkAboutHomestead_McBrideSDF ID:
D: PREPARER - : _ ,•. _ ,_ .
Angela M. Satterfield
hrparcra/tAe Svla Disclos�re Form
530 Frederira Street
dddrrss(NumberandSneeQ
Owensboro, KY 42301
Ciry, Sm[t and ZIP Code
E.SELLER(S17GRANTORfSI � �-' : � � -� �
Mark D. Adams
Seller ]� Namt as appeurs on ronveyanre darument
905 Mohawk Dr
Address (Number and SveetJ
Fort Branch,IN 47648
Ciry, Ratt�qnd ZIP Code
Escrow Officer
Title
Foreman Watson Land Title, LLC
Company
270-689-2424 asatl
Shawny D. Adams
Seller d- Name as appeon on ronvryvnre doavment
905 Mohawk Dr
Address (Number and Streetf
Fort Brench, IN 47648
Ciry, Stafe, ond ZIPCode
Under penalties of perjury, I hereby certify [ha[ [his Sales Disclosure, [o [he bes[ of my knowledge and belief, is [rue, correct
and comple[e s required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Ac[".
I �'l��J %:G�-� i � ,�h�..�., � �d�...o I
F
A. McBride
�UCTIONS- IDENTIFYALLiTEMS
Elizabeth J. Mc6ride
Ciry.
THE SALFS DISCLOSURE FORM MA\' 9E USED TO APPLY FOR CERTAI.Y DEDURIO\5 FOR THIS PROPENTY. IOENfIN ALL OF THOSE THAT
rFS no couoinon
❑✓ ❑ 1. Will this property be the buyer's primary
residence? Provide comple[e address of F
residence, including county:
Addrtss(Fumberond5tree[)
Ciry, Smn ZIP Code Counry
❑ ❑✓ 2. Does the buyer have a homestead in indiana ro be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
induding county:
3. Homestead
APPLY
U U 4. Solar Energy tQ��,j��fj�
❑ ❑✓ 5. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geo[hermal Energy Heating/Coi
❑ ❑✓ 8. Is this property a residential rer
❑ ❑✓ 9. Would you like to receive tax sta
property via e-mail? (Provide cm
below. Please see instructions for
S�N,v �
g Device
propert},?
nents for this
x in(ormation
re informafion.
Addresr (A'umber ond SReet)
��p —1 - •/Dl-00/•�0,3 �O.t,�
Ciry, Swre ZIPCade Coun
PdmaryproperryownerrmlaRname I - il
Under penal[ies of perjury, 1 hereby certify tha[ this Sales Disclosure, [o [he best of my knowledge an e ief, is [rue, correct
and comple[e as required by law, and is prepared in attordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[eadi educ[ion is
beingf e.�(//%/"'7.�?���- , 7 � 7 Qw�s-��`ilW"C�^-iF� � i
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