HomeMy WebLinkAboutHomestead_Collins (5) INDIANASALES DISCLOSURE FORM SDF ID: Page 2
Jennifer Wade Closer
El s
Preparerof the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street.) Company
Evansville, IN 47715 (812)759-5555 closines@regionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Lankford Properties, LLC
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
56 E 400 N
Address(Number and Street)
Address(Number and Street) .
Patoka, IN 47666 State,and ZIP Code
]
a comple s re e law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
' /f-t{ s.n a\ -C(--
Signature of Seller /17 62 �� Signature of Seller
Chase Lankford, Member J _
Printed Name of Seller Sig Date(MM/DD/YYYY) Printed Name of Seller j I 5 n a dM/DD/YYYY)
tE :R(S '.T:iTEE(S) A'P.P-LieMlIONIEOR P.RORERTIYirT Y°TjEDUel, ONS5I)EhTIFY Miin Eb j-WA I I s'•. eli'rj El-,A-*t " -
' t lichael T.Collins •
appears on conveyance document Buyer 2-Name as appears on conveyance dacume(J L. 06 2018
676 E Taftown Rd o
Address(Number and Street) Address(Number and Sayer) .
t. YES NO CONDITION YES NO CONDITION
CLVSID 1.Will this property be the buyer's primary � ❑ 3.Homestead
residence? Provide complete address of primary ❑ E 4.Solar Energy Heating/Cooling System
residence,including county: ❑
4651 N SR 65 E S.Wind Power Device
Address(Number and Street) ❑ Hydroelectric Power Device
Patoka, IN 47666 Gibson ❑ s 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 8.Is this property a residential rental property?
>0 err 2.Does the buyer have a homestead in Indiana to be ❑ 0 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
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.)
Street) 26-02 _ S7—(04 —003 -p 1C —017
Michael T.Collins
City,State ZIP Code i County Primary property owner contact name E-mail