HomeMy WebLinkAboutHomestead_Morton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
;'DjPREPARER_ g `.. _.I°yr- =YM _J r's_' + z.. /1 141- 21-'' ? ::3 -. << L i�_ re c
Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715
mail
t E..-$EL11EF2(S)laWii Rig C1,-,irir_l4 a ' _ �IY ^r cr.-1( At��rr°-%A1.2:1`,7 b , _r-f2r_cvc yi Fw. �v__G:1
Jamond R Heldl
Seller I-Name as appears an conveyance document Seller?-None us appears on conveyance document
Address(Number and Street) Address(Number and Street)
ni -144-1 11-I / -In Ffi%Y14Icco111.1 4iG'1°1
Email Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and con w to as r i V ,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
`
Si- mture of Seller Signature of Seller
Jamond R Heldt 1115111
Printed Name of Seiler Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYVY)
F.BUYER(ST[GRANTEE(S) APPLICATION FOR PROPERTI"TATODEDUCTIONS=.IDENTIFYL-ALE,ITEMS3,HATC, —,. - c ,, , I
Brooke L Morton
Buyer I'Nameasappearson conveyance document Buyer 2'Name as appears on con•rct oe nee
11105 c Milo 5A- qp�9
Address(Number and Street) Address(Number and Street) ��1 V L
Pfln(e {-Dn, IN 41(210 , a-
E-mail Telephone Number ((��I y�yy GOO Email
THE. LFS I115CLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR PERTY. IDENTIFY ALL OFTHO�{ISIY,IPPLY.
YES NO CONDITION I YF NO CONDITION
❑ 1.Will this property be the buyer's primary ] ❑ 3. Homestead
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System
residence,including county:
ItOS S Main S+- ❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
? fin rP -bf,1N 41 G lb 61 b Sr ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State IP Code County
❑ 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 ❑ 0 9.Would you like to receive tax statements for this
• complete address of residence being vacated, property via e-mail?(Provide contact information
1 including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
I Cip•.5:a:tZIPCndr ah - la - I- 3Qu u°3s3H to -nab
1 Primary property owner contact name E-mail
Number License/ID/Other Number