HomeMy WebLinkAboutHomestead_Chapman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
- EVANSVILLE,IN 47715 812-402-4553 CHRISTINA(p REGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) •
hawn P Young Stephanie L Young
eller l-Name as appears on conveyance document Seller(2--Name as appears on conveyance document
-010_11— , l l) I I M r 0 ,9(:)\` \ .ulJ A\beo
A-drgs(Number a 4 Street' dress(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a `m te as required byr law,
,,'and
'iiss prepared in accordance YKith IC�66--1`.-11-5.55 ""Real Propert Sales Disclosure Act".
Signature of Seller rl, (`-'t// u - sViaanIiiifScller a
Shawn P Young -4 -,./4/G Stephanie L You g • 12Q'j l-o
Printed Name of Seller • SttanDat (MM/o ,YYY17 Printed Name of Seller Saari! &T YI\
F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Kyle T. Chapman Breanna N. Merritt
er1 Name as°pour on conv • nce d ument B yer2-Name as appears on conveyance document
c ?Q L CA? Avt. 2522 u L a-Fay C - &/e. P ,
dress y`mbery pad street) drest(Numberand Srreet)yt
�-376 IN 1-177t1
�
TH SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER IDENTIFY ALL OF THOSE THAT APP,[k,
YES NNO i)NDITIOH I YES 'N CONDITION'a' -oON CnG
�❑ 1.Will this property be the buyer's primary ❑ 3.Homestead TYq
, residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System �OITOq
residence,including county: ❑
5.Wind Power Device
201 S Willard St
• Address(Number and Street) GlktoY1 ❑ fl 6. Hydroelectric Power Device
Ft. Br,nch,IN 47648 --aFes4ar-t+ufell-
Ci• tateZIPCade County ❑ 0 7.Geothermal Energy Heating/Cooling Device
hj ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
O vacated for this residence? If yes,provide ❑ ig 9.Would you like to receive tax statements for this
fV complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more informaton.
Not available in all counties.)
Address(Number and Street) / n✓
City,State ZlPlode County Olt ^/9/p - Jai- 000. 6O7- oci6
Primary property owner contact name E-mail
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