HomeMy WebLinkAboutHomestead_Parker (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
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D. PREPARER
Kathy Masterson Escrow Officer
Prepare(of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 kathy@swinland.com
City,State, and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Alan M. Purcell Juli A. Purcell
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
113 S Jeremy Lane 113 S Jeremy Lane
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
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 in accordance with IC 6-1.1-5.5, "Real
U///,P.//(......rrorooperty Salesss/q Disclosure Act".
gL ignature'df Selei - c•— i uie ol" e llera
Alan M. Pu.•t? : is ai " 9/9/2016 Ju Purcell 9/9/2016
Printed Name of S e{„.......
,er Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT Y
Danny Ray Parker, Jr. 1-4 r
Buyer I -Name as appears on conveyance document Buyer 2-Name as appe on- cerfEument
1285 Chukar Hollow Zptfi
Address(Number and Street) Address(Number and Street) SE? 1 a
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS RTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
?,7 ❑ 1. Will this property be the buyer's primary ❑ 3. Homestead /)
residence? Provide complete address of primary .❑ • 4. Solar Energy Heating/Cooling System
residence, including county:
113 S Jeremy Lane ❑ D 5. Wind Power Device
Address(Number and Street) ❑ /"_ 6. Hydroelectric Power Device
Haubstadt, IN 47639 I Gibson ❑ !le 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ ()-d, 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ \ 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete \ property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
�l Not available in all counties.)
Address(Number and Street) — I Tr 3 (( cd_OW•3 ^'-009
City, State ZIP Code County Primary property owner contact name V l3� E-mail