HomeMy WebLinkAboutHomestead_Skipo INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
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(@REGIONAL-LT.COM
City State.and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) •
Patricia D Vanoven
Seller I-Name as appears nveyance document Seller 2-Name as appears on conveyance document
it`I` Sd>°- iP( V\ Sr
ress
V(V∎ 9 and cc-On) u(-7 l 7 -\ Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co to as required /law, d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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7,
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Signature of Seller Signature of Seller
Patricia D Vanoven 3 c7 y-/ 7
Printed Name of Seller Sian Date DiM/CD/M11 Printed Name of Seller Sign Date(MM/UD(YYrY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITT?IPA. E D
�8abrina L. !rsao 1` um t -
buyert-,.a ee as appears on conveys ce document Buyer 2-Name as appears on conveyance document
I -- a_ to id JS MAP 302017
Address(Numbers Street) Address(Number and Street)
*(7 G� Ai in gift
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Y NO CONDITION
ES N YES • 't ION
❑ 1.Will this property be the buyer's primary s' ❑ 3.Homestea e
residence? Provide complete address of primary II U a. oar Energy Heating/Cooling System
residence,including county: ❑
1021 S Adams St 5.Wind Power Device
Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device
Princeton, IN 47670 Spencer ❑ 151 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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 Sweet)
aC - /a -/7 - /0/-oo2 . 3‘9-o•L8
City,State ZIP Code County
Primary property owner contact name E-mail