Homestead_McCandless (12) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
CHRISTINA LATHAM TITLE CLERK
Preparer of the Soles Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINAeREGIONAL-LT.COM
City,State and ZIP Code Telephone Number E-mail
E.SELLERJS)/GRANTOR(S)
Hubert R I oveless Jr Judith A I oveless
(Seller•t-Nomeasysppears onveyance•• ment k.fllei2-Na/me asappea yn conveyance document
`� �- ` `' o ( �l` /c:NS1 C� /SOD (`�FS
Address(Numbecand Street) Addr (Nu nd Str`e t)
° f 11ff
Under enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an c"mmplete.as rr�equir d by law,,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
,---d.,-771, k-i:1-77(
Signature of Seller tgbature of Seller----
. .7 e v /
Hubert R I oveless Jr 77471/2.
`l� •�y' Judith A I oveless �—Z, �1�T1
Printed Name of Seller Sian Date(MM/DO/11111 Printed Name of Seller Sian Date IMM/DD/YYYYI
F.BUYER(S)/GRANTEE(J-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
William J.McCandless Kelly R. McCandless
BGyer1-Name as appeors o ameyance document � °yerM12=Name�aspppears on conveyance document
tt Vr�A c, ol-O
Addrcss(Numbe..ai Street) tilrts(NumbenandStreet)
L_________
)2C-Pt9_✓l:e-e firvl IAN '?c.)
City,State and ZIP rode
�•
U� Y
YES— —NO—CONDITION YES No�COBDITION 8 216
�❑ 1.Will this property be the buyer's primary �❑ 3.Homestead
residence? Provide complete address of primary ❑ 4.Solar Energy Heaft t ?Am 1 -f 1.-•e:
residence,including county: ❑ S.Wind Power Device •fNTYq e
269 S et) ❑ 0 6. Hydroelectric Power Device UOITOR
Oakland City, IN 47660 Gibson ❑ 511 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ 4 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.
N t available in all counties.)
Address(Number and Street)
A -/ - 60-J00- Cb/jo 5K 006
City,State ZIP Code County
Primary property owner contact name E-mail