HomeMy WebLinkAboutHomestead_Mendoza INDIANA SALES.DISCLOSURE FORM - -.SDF ID: -•
• -- ID REPARERtC�=T'�'-. w. 7:77- A-1;-¢: _ :., ,b.': ,iii€• _• -. '/4'72N "r .,. 77-7:4_a- , ,:'L -el
Karen S.Creek __ Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main St.Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 -
City,State,and ZIP Code Telephone Number E-mail
trfS EER(SVGRANTOR(S)s. z 2_ _.; 7 y Z __ lr «-.�`3`ICC7)
Joshua K Meeks Megan K Meeks
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2',126 ✓ 30o S. ' gAs2 5 G 300 5
Address(Number and Street) �" 6 0 Address Number and S eet)
Oakland G.4y '0 lano( an. IN 117 tato
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complej a as required y law prepared in accordance with C 1.1-5.5,"Real Property Sales Disclosure Act".
a�pl�ler t,12 �
nature of Seller , $gna eoJSelRr �,r�
Joshua K Meeks Megan K Meeks • O�l ( 20
Printed Name ofSeller Sian Date(MM/DD/YY/T) Printed Name of Seller Sian ate(F /DD/YYYY)
(P:i.BU,YER(5p/.GRANTEE(S))=1P:P,GIGATIONIFOR P,ROPERIXt/TAX=DEDUGT[ONSzIDENTIF,Y(ALG TEh1S!THWA:l9LY(- 2.7"^
Daniel S.Mendoza ---
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
414 N.Washington St.
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF E PL
YES NO CONDITION I YES NO CONDITION I
0 ❑ 1.Will this property be the buyer's primary TA ❑ 3.Homestead ''II rr '�tt((11
residence? Provide complete address of primary ❑ TA 4.Solar Energy fnitcli j'A6fth�System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ TA 6.Hydroelectri fl. y,-.-444,1,- .
cty,sta�npcade County
❑ TA 7.Geothemtc,ITI�QUIsarttI 'UQtlfkkfDevice
❑ Q 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 ❑ NI 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)
2OP--ILEIPOLI WI. O?
City,State ZIP Code County ,
Primary property owner contact name E-mail