HomeMy WebLinkAboutHomestead_Kell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER '
Lynette Murray Processor
Preparer of the Sales Disclosure Fonn Tide
4962 Lincoln Ave First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteam(affirsiadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mad
I E.SELLER(S)/GRANTOR •
.Ian E Mason Jeffrey.1 Call
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3C -1 S S . 1 I c C a(1))",—I S ?so W
Address(Number street) Addre (Number an Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete regtt' by law,and is prepared in accordance with IC 6-1.1-5.5, "R 1 roperty Sales Disclosure Act".
• h 'G/lt f�t7ry1n\
Si$ tare of Seller Signe e r
Jan E Mason IC) ._I 7'(L, Jeffrey J Catt VVV /0 _0— I LJO
Printed Name of Seller Sion Date(MM/00/1111) Printed Name of Seller Sian Date(MA/DD/M11
F. BUYER S GRANT EE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEF ttPPIF ID
• • - Ana G Kell
appears on cnptyance docurieat Buyer 2-Nome as appears an conveyance document
• )1CS l-e V el- OCT 19 2016
Address(Nu mbe and et) Address(Number and Street)
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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 c Mo rmmTIDN
K ❑ I.Will this property be the buyer's primary (� ❑ 3. Homestead
residence? Provide complete address of primary �4L✓-J 4.Solar Energy Heating/Cooling System
I Ol ^ rdencg,incluprountyu�
\! dj-ac e ❑ S.Wind Power Device
Add (Number andyytreet)) t,,1 i ^ ❑ 6. Hydroelectric Power Device
(\t1«. 's-T` _ �'N 7 `r'1 0 ❑ ❑ 7. Geothermal Energy Heating/Cooling Device
City,Store ZIP Code County
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8 Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Z 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
\T N inc mg county: be . • •• • •• -. tractions for more information.
Le y- to Not available in all counties.
Address Number and Street)
4-1 s1/4F to ,4, ../2 - i6 - goo - 000. 3°s— oe7
City,State ZIP Co loun
P 'mazy property owner contact name E-m it