HomeMy WebLinkAboutHomestead_Munnier (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
CHRISTINA LATHAM TITLE CLERK
Prenarerofthe Saks Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINA(ohREGIONAL-LT.COM
City,State,and VP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
J� 'K Meyer
Seller 1-Name as appears an cart nce document Seller 2-.Name as appears on conveyance document
Y 88 91,-,AL, Rd.
Address(Number and Street) Address(.Number and Strut) -
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 Property Sales Disclosure Act".
( i H.
Signature of Seiler r `j�, / 1 Signature of Seiler •
,,a-r:tM Name of Seiler /Z/rt,tWDD/YYYn Printed Name of Seller _ i I 1,29\
4n Date(14.k/DD/YYYY)
F.BUYER S GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ; FIE 1S Ti1 -
CIndse Munnier
eu as appears on conveyance document Buyer 2-Name as appears on cone y(j docun n2017
r-101 C. YYI(xin q H�IVV yy
Address(Numb"..r and Skeet) Address(Number and Street) l,3
41-014-gmrclq Ind 4-i1o��
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TIiAT APPLY.
YEiS NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestea
residence? Provide complete address of primary ' ICI 4.-SdIar Energy Heating/Cooling System
residence,including county: ❑ N S.Wind Power Device
701 S Main St
Address(Number and Street) ❑ N 6.Hydroelectric Power Device
Ft.Branch,IN 47648 Gibson ❑ N 7.Geothermal Energy Heating/Cooling Device
Qty.St ZIP Code County
a
❑ 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 ❑ 0 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)
o?6 —Ii- a' - 2-0Y- ooD . 899 -0.L6
Qty,State TIP Code County
Primary property owner Contact name Email