HomeMy WebLinkAboutHomestead_HaleSALES DISCLOSURE FORM
CHRISTINA LATHAM
Preparer o/the Sala Disdosure Farm
4703 THEATER DRIVE
Addres (A'umber und Street)
EVANSVILLE IN 47715 —
Ciry. Stafe, and➢PCOde
Crhrn4i �I P�ODPrtic+c I I f _
Selfef 1- Rame as app m aam'ryonae xumen(
����.o o c�,`��,��. c�...��\ ��
�I
rrtle
Campany
Seller 2- A'ame as appears on [onvrymae documen[
Addra's (NUmber and S[ree.J
Ciry, Smte,
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, ro the best of my knowledee and belief, is
aqQ�n{Llet�es required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclos�
Jeremia A. Hale
Buyerl-Aameasappeursonm veyanredocument
.� �/6 N. ?�%- SriPP�
7C:(,S
s�y�am.eo/sene�
PrintedNameo(Seller
CTI0�5'= IDENTIFY ALL IT �• HA'
Buyer2-h'ameasappcvrsonronveyanceda .e
Address(NumbcrondSVee[) Oli O
Y
CirytSmtgand'LlPlode ��fj
THE SdLES DBfkf�URE FORbI hidY BE USED TO APPLY FOR CERTAIB UEDUCTIOSS FOR THIS PROPHRTY. IDENTIFY dLL
4Vill this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Address (Number and Slree:J
Owensville IN 47665 Vanderburqh
rry, sm.e z�a coee ca��n
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrgs(Number
Ciry.SmreZIPCode Counry
❑
❑
❑
❑
❑
Homestead
n 4. Solar Energy Heatin�/Cooling Sy
U S. Wind Power Device
Q6. Hydroelec[ric Power Device
❑� 7.GeothermalEnergy Heating/Coo
Q✓ 8. Is this property a residential ren�
Q✓ 9. Would you like to receive tax sta
property via e-mail? (Provide con
belo�v. Please see instruttions for,
Not availa6le in al! counties.)
� / i �/�[ �
z
E-mail
ie, correct
Act".
Device
nts for this
infarmation
� information.
❑�
Under penalties of perjury, I hereby certify [hat 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 6-11-S.S, "Real Proper[y Sales Disdo �ure Act". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead D' duction is
�
5{qnomre o(Buyer2/Spouse
o(Buyer2/Spause
Las[Sdigifso(Buy�er2/SpouseDnver"s State Las[SDigitso/'SocialSecunty
Llrense/!D/OrherNumber A'um6er License/lD/0[herNumbe� �
I �