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HomeMy WebLinkAboutHomestead_Freeman (2) /,' ,;ANA SALES DISCLOSURE FORM SDF ID: Page 2 .=PREPARER- - _; : , - . LANA C. HARPER CLOSER • .' Preparer of the Sales Disclosure Form Title 5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE, IN 47715 E-mail E.SELI BR(S)/GRANTOR(S) -. ., ' Melanie D.Young n/k/a Melanie D Young-Stodghill Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document �0 V ,. •Lc,cu� . Address(Number and Street) Address(Number and Street) folr-; (alach I-'Ni LII`7 Lvy�S certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as>fequired by law,and is prepar d in ac rdance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". I Signature of Seller I�l^� Signature of Seller Melanie D.Young-Stodghill (V�1 Printed Name of Seller Sign Date(M /DD/YYYY) Printed Name of Seller Sign Date(MM/DD/rrrn. F:BUYER(S)/GRAN:TEE(S1-APPLICATION,.FOR PROPERTY,,TAXDEDUCTIONS—IDENTIFY ALLITEMS THAT APPLY Jacob M. Freeman Buyer 1-Name as ap ars on conveyance document Buyer 2-Name as appears on conveyance document / W/2/0 ale, /e . . . . . . _4.7. Address(Number and Street) Address(Number and Street) I& C4a/i/9211/ kgo 4? 7 6 City,State,and ZIP Code City,State,and ZIP Code ,r n DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT Y110 V ` YES NO CONDITION , YES NO CONDITION ANTI/ -- [v]/ ❑ 1.Will this property be the buyer's primary V. ❑ 3.Homestead ,61&O/T residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System �I � I ri�,�id�hce,inuyling county: if in I On -(' ❑ 0 5.Wind Power Device Odra) mbera sr e 1 l n ` — r\` J_, O-.1 ❑ 6.Hydroelectric Power Device " � (I V ���� Ip m ❑ Z 7.Geothermal Energy Heating/Cooling Device ' City State21 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 including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) D -\t-0t- `l0L( -000 DIGt --d),) City,State ZIP Code County Primary property owner contact name E-mail License/ID/Other Number