HomeMy WebLinkAboutHomestead_MountsINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D: PREPARER '-' �: t . - `s. *�2 T - ; r �
Gene D. Emmons � Attomev
�Neporer o(the Sala Oiulosure Farm Ttle
3101 N. Green River Road Suite 140 Trusrivorthv Land Title Co.. Inc.
'� Address(NUmberandSneetJ
�E.SELLERS GRANTORS_�-��.� � " - - - � � - � "
Rnhrrt D. Mc(:lain �Ilv ,K McClain
Se/!e� 1� Name as appmrs om m�vryvnce dotumen[ Seller 2- Name as appeors m ronveyvnce dxumm[
407 S_ Sixfh Avenue QO% $. SIX�FI QVP.I111P.
Address (A'umb<r and Svee[) Add� (Number ond Stree[)
Hanhstadt IN 47639 Hauhstadt IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclomre, [o the best of my knowledge apd belief, is true, correct
an�d compPle�te as required by law, and is prepared in accordance wit,�h//1G 6-11-5.5, " eal Property Sales Disclosure Act".
F�e,.X-.D %ks�' �I1 D�.C[l �• �C L.L� �1.1/��
5(qnaNreo/Seller S�ignob]reof5 r
- Kel�y K. McClain (1528-2010
n[edNameo Selle� Si nDate HM n RinredNameo Seller Si nDv4 HH �
. _. . . .. . . .. . ... . ...
; FsBUYER S GRANTEE S.=;A PL[CATION FOR�BROPERT;Y T IONS- IDENTIFY ALL ITEMS THAT APPLY.:: -
D t P I J M
Bvywl-NOmeasuppmrzonm onaAocumrn[ Bvyer2-Nameasappearsonronveyanc ument
77 W er P 77 . Wat r
A recs(Nvmberand5tree[) Addr¢s(NumberandStree[J
THESALESOISd0511REFORMMAYBEU5EDT0APPLYFORCERTAI.YDEUUR10N5i0RTNI5PR . SETHATAPPLY.
YES ti0 [O\DITIOY YFS NO COYOITIOY
�✓ � 1. Will this proper[y be the buyer's primary ❑� ❑ 3. Homestead
residence? Provide comple[e address of primary � , o ar Energy Heating/Cooling System
residence, including county:
9776 S Watar Tower Place ❑ ❑✓ S. Wind Power Device
AdAress(NUmboandStreet) ❑ ❑✓ 6. Hydroelec[ric Power Device
Haubstadt.IN 47639 Gibson � � 7.GeothermalEnergy Heatlng/Cooling Device
Clry, Sm[e Z1PCOde Counry
Q � 2. Does the buyer have a homestead in Indiana to be � ❑`� 8� is this property a residen[ial rental property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive tax statemen[s for this
tomplete address of residence being vacated, property via e-mail? (Provide contact information
i ncluding county: 6elow. Please see instructlons for more information.
7535 Moye Drive Not availa6le in all coundesJ
Addrtt (NUmber an d Street) �y
Evansville IN 47712 Vanderburqh � /��� _��Q ��O�J .3�� �6p�;,
Ciry, Smte 21P[ode [ounry
Frimoryp�operryownermnmctname 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 acwrdance with [C 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein fig led.)�� � �� �
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Signamrz (BUynl S'(qnaNreo(BUyer2/Spous