HomeMy WebLinkAboutHomestead_McDaniel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
VD'PREPARER S?;-..f:=? 's`3 .2-,ir. a:`? '.-,t-': '•ts'*_ 5r 4.-ti—. .-Wr�"r.- "YAF.ii '`1 ."--' u- ,.-:+Lf!ri.€ .: ; 'T-..-x•^`.M1
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(dREGIONAL-LT.COM
City,State,and ZIP Cade Telephone Number E-mail
ESELE$ IRGNTOR($)` ;1. =— 7#,;.X.Yi%t7)r2t--. . y .)`:"I . : ':rat`. T 0 es"-..-_s`_Y; a`-'L�.-V . ttl2;.:F,'.r5?s:.
Brian Taylor Nikki Taylor
Seller I-Name ay fin/Warr""rnn v"vnnr"document Seller 7-Mn.,.,"........,.,nn rnnvevance document
aXAddresr IN„mb---arm•.
I i AddresNumber and Street) I •
City State and nor,.',. City,State,and ZIP rod”
' 11 `Y
r , ! - f _ _ _
Telephone Number E-mail _..._a E-mail
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 oreoared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
_ . . A ., A - n , dam,`'^�--(/J�
• Signature ofSeller u r P�, r M ,g / 0 ODi - J
— r na[urea Seller
Brian Taylor Nikki Taylor 2 h
Printed Name of Seller Sign Date(M4DD/YYYY) _ Printed Name of Seller Sian Date(M.N/DD/Y9Y1j
I BUYER[S)%GRARITEE[S)T APPLICATION ORPROEERTtYaTA%DEouGrnoNS IDENTIF �L �T 7T Y ��`
Jeffrey J.McDaniel
rip Name as appears an cony 'once document Buyer 2-Name as appears on conveyance document
0 -1-� Dt OCT 13 nth
Ad esss((�Nuummbbe�r and Street) Address(Number and Street)
iryStaff g ZIPCe �� �O City,State,and ZIP Code ,( RJnh
C 6 GIBSON COUNTY AUDITOR
Telephone Number E-mail Telephone Number E-mail
THE LES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR PERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
1 I YES NO CONDITION
El 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
403 E Poplar St 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Ft. Branch, IN 47648 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,StateDr Cade County
El 2.Does the buyer have a homestead in Indiana to be 111 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) /7l`�
City,State ZIP Code (1r_- 14-I4-101 - boo- g l b �a4
County v
Primary property owner contact name E-mail