Homestead_McCandless (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
UDtRREPARER _—: ----- _ ;(- - - - F., --'7 s- '—{ —s _ —_ —
Becky King Closing Services
Prepare,of the Sales Disclosure Form Title
7820 Eagle Crest Blvd..Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 becky.kinq(tilregionaltitlellc.com
City,State,and ZIP Code Telephone Number
E-mall
EiSailiER(S1/,GRANTOR(ST r.. ' :----: --. - = , - T''1T ;>---- -ss-- s-;
Michael L Moore
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1267 Taftnwn Rd
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
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'n cordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/247. ,6!. ? 2- 32016
Signature of Seller Signature of Seller
Michael L Moore 02/03/16
Printed Name of Seller Sign Date(MM/DD/YIYY) Printed Name of Seller Slgn Date(MM/DD/MY)
ET UXER(S))/,GR illEE(S)` AP,PLIGATIONIrOPEOPERTIYtTAXtDEDUCTIQNShi1DENITIEnE i1TEEMSIT-I TXPPLY'. - :
Tiffany D. McCandless Robert W. McCandless
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1942 S Whispering Hills Road 1942 S WhisperingHills Road
Address umber and Street) Oakland(Number and Street)
Oakland d City, IN 47660 Oaakland City. IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION ��[�� ���.,!
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead Nr�
residence? Provide complete address of primary GIBS COUNTY A U D I T O R El Q 4. Solar Energy Heating/Cooling
ys
residence,including county: ❑ O
1267 Taftown Rd 5.Wind Power Device
Address(Number and Street) ❑ fl 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson
City,State ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device
0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 4 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.
1942 S Whispering Hills Road Not available in all counties.)
Address(Number and Street)
Oakland City, IN 47660 Gibson a 6 - la05- 1 I pp���/�-I Oo- 1. ,3o-(.LAY )
City,State ZIP Code County
• Primary property owner contact name E-mail