HomeMy WebLinkAboutHomestead_Gentry Jr INDIANA SALES DISCLOSURE FORM SDF ID: . Page 2
D.PREPARER
LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE. IN 47708 812-468-8485
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . - • . - .
JOHN T KNAKMIJHS MICHELLE I KNAKMUHS
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
X 7 S �q C�inf-lianik document
in tea\ S. ■JytJn S\-
Addr (Number an treet) Address(Number and Street)
I tuanSUI Ile, _17\.( I71Q0 ,rte, 'bt`
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co et as requiSedbI,and is prepared in accordance with IC 6-1.1-/S-.5,,]""Reaall roperty Sales Disclosure Act".
`10 er
Si ure ofSeller Signature of Seller
MOINI T k„ ItUjIL O$- 19. 001‘ Mid-idle L. K,1-ALmt1 hr ifiebollo
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Printed Name of Seller Sign Date(MM/DD/YYYP) Printed Name ofSeller Sign Date(MM/DD/YFYYI
F.BUYERS)/GRANTEE(S] -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL I'C 3 APPLY. - - - -
ae�Ypn T
•RL LEE GENTRY JR.
- om�eyan edacvm t Buyer 2-Name as appears on cony e I
t,r05- F. 04_k , i-- D
Address(Num and Street) Address(Number and Street) AUG 3 0
7--6r&
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES . NO CONDITION Y[S_ •'^m_1.
Q ❑ 1.Will this property be the buyer's primary Cl ❑ 3.Homestead
residence? Provide complete address of primary "jJJ� N. 4.Solar Energy Heating/Cooling System
D5
residence, _ ging,county:
❑
U cl d i S.Wind Power Device
Address( m and Street) N �1 ❑ 0 6.Hydroelectric Power Device
Fit. t rc i'1 Ch Xi.] V74,l g &l.b_SO•-,
❑ 15I 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code Caun G.
igi ❑ 2.Does the buyer have a homestead in Indiana to be ❑ N 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ N 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.
Address(Number and Street)
ah - l9•19 • /bi- 000•/08 -0x6
City,State ZIP Code County
Primary property.• . -• ,ame -mail