HomeMy WebLinkAboutHomestead_McCandless (2) INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
D.PREPARER . ''%".F€r a Ci::';" ?,
CHRISTINA LATHAM TITLE CLERK
Preparerof the Sales Disclosure Form Tide
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Seat) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINA!'REGIONAL-LT.COM
City,State,and ZIP Cote Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) -:.t:: • ,z f -,-.-_:air' , :i.
Darwin P and Nancy S Tucker Revocable Living Trust
lferI 1.--,1 rson conveyance dos SA/n2 Name as appears on conveyance document
Address(Number a41 Street) Addreu(Number end Street)
•
>839 S o pcM9A/ St- g
Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn lete as required by law,and Is prepared in accordance with IC 6-11.5.5,"Real Property Sales Disclosure Act".
• Signature of Seller V Signature of Seller
Nancey S Tucker as Trustee -1- /to
Printed Name of Seller Sign Date(M.M/Dort no Printed Name of SeL'er Sigr.Date(MM/DD/tTYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLYt:T t>:.tig i i
aV d D.McCandless Robyn R.McCandless
Buyal Name-�ypmrsan cantos document Buyer 2-Name as appears on conveyance dot-moat
C. y a 2, t (A)a t o u-* 5*Ce-e,i
Address(Number and Street) Address(Number and Street)
THE SALES D SCLOSU RE FORM MAT B 1 E USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OP THOSE THAT 1 3 2Gi6
•
YES NO CONDITION •
❑ 1.Will this property be the buyer's primary \ ❑ 3.Homestead �J�
residence? Provide complete address of primary ❑ U 4.Solar Energy He&t QNICW6WMp1AUDITOR
residence,including county: ❑ NI 5.Wind Power Device
_A22 F Walnut St
Address(Mambo rand Street) ❑ 0 6.Hydroelectric Power Device
Owensvilie. IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
• City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 5 8.Is this property a residential rental property?
' vacated for this residence? If yes,provide . ❑ 5 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)
ac-/8-O ? -boo- 000. S y7 -v,t 0L
City,Sate ZIP Code County
Primary pmperty owner contact name E-mail
I