HomeMy WebLinkAboutHomestead_Whitten (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Lana Harper Escrow Officer
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Road,Suite A Total Title Services,LLC
Address(Number and Street) Company
Evansville,IN 47715 (
L� 1 r' sit .q�y'�� 't� -
P:...,1 LiL�(is)�/V,IS`,~.U.V 0 r -... d:i*I`".�r'''" ,K yr•.4:s.-4c. ? ,,°. '., " -,,,, .�_ .. "�=rs-r w` '.
' Nathan G.E.McIntire Paige N.McIntire
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11746 Juniper Court 11746 Juniper Court
Address(Number and Street) Address(Number and
E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the I t of my knowledge and belief,is true, correct and
com let s required w,and is prepared in accordance with IC 6-1.1-5.5 rope .Sa1Rs/J3isL�re Act".
ig reofSeller Signature1ifSeller
athan G.E.McIntire 10/20/2020 Paige N.McIntire 10/20/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
igithiER t, 4 G ' TEES , . , , ICA, ION,FOR PROPERTY TAXDEDUCTIONS'.IDENTIFY ALL ITEMS THAT APPLY 4
Dillon Whitten
Bu er - pears on conveyance document - Buyer 2-Name as appears on conveyance docu -nt
1007 S.Main St.
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 0 CT 2 3 2020
///�
Telephone Number E-mail Telephone Number �t / E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THATAPP3! SON'COUNTY AUDITOR
YES NO CONDITION YEA___No CONQITION
Ei 0 1.Will this property be the buyer's primary ( ]( ❑ 3.Homestea
residence? Provide complete address of primary
residence,including county: El 0 4.Solar Energy Heating/Cooling System
El 5.Wind Power Device
[00 1 6, M,q , n 6 ❑ 0 6.Hydroelectric Power Device
Address(Number and Street)
❑ 0 7.Geothermal Energy Heating/Cooling Device
+, r()DC-k a il-16 1-1.6 U t�on ❑ ❑X 8.Is this property a residential rental property?
City,State,and ZIP Code County
❑ 0 9.Would you like to receive tax statements for this
❑ n 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county
Address(Number and Street)
A - /g- .2Y -boy-coo. c /O - )),,c
City,State,and ZIP Code County Primary property owner contact name E-mail
License/ID/Other Number