HomeMy WebLinkAboutHomestead_Chappell INDIANA SALES DISCLOSURE FORM SDF ID p 2
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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)
4 a�
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Robert V.Hinton Darlene K.Hinton
Seller l-Name as cameras on conveyance document [� f - Selo'''-Name as appears on conveyance document
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Add ss(Numbe—nd-S et) _ ( Addr.ee`(humberan_Street)
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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
complete as required by law,and is prepared in accordance with IC 6-1. ,j Real Proper e iscl sure Act".
Signature of Seller Signatu'eofSeller
Robert V.Hinton 11/13/2020 Darlene K.Hinton 11/13/2020
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seiler Sign Date(MM/DD/YYYY)
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James Chappell L.Michelle Chappell
Buyer -Name as appears on conveyance document Buyer -Name as appears on conveyance document
5129N75E 5129N75E
Address(Number and Street) Address(Number and Street)
Patoka,IN 47666 Patoka,IN 47666
E-mail
THE SAL SCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENT ALL OF THOSE THAT APPLY. FILED
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary 0 3.Homestead Nov 16 2020
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Conlin !tOikir�
residence,including county:
i.,� 9 j ID 0 5.Wind Power Device GIBSON COUNTY AUDITOR CB
I/'; J j. / 1.J £ ❑ ❑X 6.Hydroelectric Power Device
Ad,...( Umber and Street)
J r �'R ❑ 7.Geothermal Energy Heating/Cooling Device
K LTV j ❑ 8.Is this property a residential rental property?
City,Stat,andZIP Code / County
❑ El 9.Would you like to receive tax statements for this
❑ 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.)
includin county
Add rs(Number and Street)
l//!! 6.14, .,, jy `./reU , IAA! . J-�J4)j4 26-05-58-024-002.031-018
t1tt}Srt andZIPCode t� ' U 7 !(f�(y' County Primary property owner con tact name E-mail