HomeMy WebLinkAboutHomestead_Messick INDIANA SALES DISCLOSURE FORM SDF ID:_ __ Page 2
D.PREPARER -
Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
4962 Lincoln Ave First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 _ 812-490-8485 theteam(th(irstadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S). - - - . •
Fan J Seals Lindsay J Seals f/k/a I indsay J Mondino
Name nvo ce�myt Sell(r2�Na s appears o onveynnte document
r and Street) + '\ _O I Address(Number and reet)
h 1 N c-6vN- .�. l—II ,5
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cfo�mplete as reeq�u�ireeed,by law,and is prepared in accordance with ICI 1.1 -5.5,"Rea •roperty Sales Disclosure Act".•
Signature of Seller /' Signature of Seller e
Fan J Seals ca i 0 I/ tt, J indsav,I Seals flkla I indsav J Mondino GZ POW
Printed Name of Seller Sign D te(MM/DD/YYY1) Printed Name of Seller v �n�n 1�e(MM/DD •
F.BUYERS GRANTEES)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALLMTIT AY•g p - __
Keith A Messick f�J Sim
uuyer Fm
ae asyppears on conveyance document Buyer 2-Name as appears on conveyance document
I6 _-xx
1 N(-1.)4. La Cr • FEB 1 8 2016
ress(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION a e .. . •
LJ ❑ 1.Will this property be the buyer's primary I Fro 3.HomesteacTh")
residence? Provide complete address of primary ----❑ [LI 4.Solar Energy Heating/Cooling System
reseal ce,in I dinece n, ' ❑
- t, ,= S.Wind Power Device
A ss/Nu rafn'd�St q• - - ❑ 0 6.Hydroelectric Power Device
( L \ 1 ) NO �' \i Ln`e F 1 ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City, tate ZIPCade County
❑ IZ 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: =• r -'- "ens or more information.
Not available in all counties.)
Address(Number and Street)
.26 - /3 -ao - 0100 - oof. Soy-goy
City,State ZIPCode County
Prima property owner contact name E-mail