HomeMy WebLinkAboutHomestead_Parker (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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
Howard H Haake by attorney Jeff Haake
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
Address(Mumherand Street) Address(Number and Street)
k' n t 13 rrin( /1 nc Y767t
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".•y5'q-SGT-fSeB y g'-q-17
Signature of Seller
Jeff Haake Attorney
Printed Name of Seller SignDate(HM/oonmTu■ Printed Name ofSeller Sian Date 0,M/0o/Ym7
£E?,BU,YER(S)%GRANTEE(S)SAP,REIGATIONjF,OR ITOP,ERTYT:ODEDU.GTIONS-IDENTIFY{AIIIITEMSiTHATMER Y7 7
Brandy M.
XBuyerI- 'ame as appears onlconveyancedocument 3 Buyer 2-Name as appears on conveyance document
IIc dr4Yum`ber.�Sa'eet) Address and Street)
i ,s :�\ I1 . y -
THE SAL ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER DE,TIFY ALL OF THOSE TFikt '�
YEsrrNO_coNoITIONrx I Y�FSL(/(•-N-O�>-_CONDITION, �Gnr�N.- -
1 ❑ 1.Will this property be the buyer's primary CJ I__I 3.Homestead yaG
• residence? Provide complete address of primary ❑ I4 4.Solar Energy Heating/Coolingm
residence,including county: rii'111
4082 Solit Rail I n 5.Wind Power Device
Address(Number and Street) ❑ IO 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El El Does the buyer have a homestead in Indiana to be El B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ IN 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)
°Z —/7 09-- 2300 - G03. 907 -o
City,State ZIP Code County
Primary pro perty owner contact name E-mail
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