HomeMy WebLinkAboutHomestead_Carlton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I D.PREPARER - - - -
Shad Gellman Senior Processor
Preparer of the Sales Disclosure form Tide
1390 Piccard Drive. Suite 300 Closeline Settlements
Address(Number and Street) Company
Rockville, MD 20850 301-795-2000 soellman(a)closellne.com
City.Statc and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)-
leffray A Hill Kelly A. Hill
Seller 1-Name as appears an conveyance document Seller -Name as appears on conveyance document
11437E 150S 11437F 150S
Address(Number and Street) Address(Number and Street)
_
Un s , e -na - ,f perjury,I her-by certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
. d complete as required r I. v,an• - prepared in accordance with IC 6-1.1.5.5,"Real Property Sales Disclosure Act".
Ilea ' (4/ //J� p1 / Ij�
SignaN•.r1�r Q Signature aLSeger
JeTke • Hill -,21 -�, Kelly A. Hill �'
Printed Name of Seller Sign Date(.NM/DD/YYYY) Printed Name of Seller Sian Date('Ot/OD/YYn1
F.BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY-
Kelly Calton
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
11437 E 150 S. IL EI)
Address(Number and Street) (Number ee[) Address(Numband Stree[)F
_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION ��u
❑ ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Ho1rtittft3tN COUNTY AUDITOR
residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System
4 —tI < 5.Wind Power Device
residence,including county: ❑ ❑
iddresss(Numbe ndS�rtt)) ❑ ❑ 6.Hydroelectric Power Device
b0k(Number
Ct Nk CS4-4 t IN Il1(g(OO 61 h,SDf ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,Stare ZIP Code • County ,�/
❑ 12-'2.Does the buyer have a homestead in Indiana to be ❑ L7 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ f" 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 oil counties.)
Address(Number and Street)
Ciry,StateVPCade County -300- ODD. 873 -ODb
Primary property awns contact name E-mail
.