HomeMy WebLinkAboutHomestead_SandsINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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SHANNON LIBBERT MGR
Preparero(theSalaDisdosureForm Title
703 THEATER DRIVE REGIONAL IAND
dddra�(NumberandStreeQ Company
EVANSVILLEIN 47715
E-mail
E. SELLER S GRANTOR S ` ` ' " ` " - _
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RYAN .I RFIDFORD
Sefler I- Name as oppears m�anveyonre dacvment Seller 2� Name as appmrs om m�veyanredacument
Sfi7 SOLITH CLIRTICE LANF
Addres(A'umberondSVeeQ Addres(A'umberanESVeet)
PRINCFTON IN 47670
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E�mai/ Tele honeA'umber E-mail
Under penalties of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and eqmpletg as r�uire y 1 w, and is prepared in accordance with IC 6d1-S.S, "Real Property Sales Disclosure Ad".
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re oj�/b Sjgnaare o(Seller
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RYAN J REIDFORD
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F.:BU7'ERS GRANTEES -APPLtCi1T10N'FORPROPERTYTAXDEDUCTIONS-IDENTIFYALL'ITEMS:THAT.APPIY-- "'F
JACOB J SANDS
Bvya 1- Name as appmrs on conveyanre dotumen[ Buyer I� Name as appmrs om m�vevanre dacvmen[
2009 EAST LAKE ROAD
Addrers (A'um6er and StreeQ Addras (h'umber and Sveer)
PRINCETON IN 47670
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THE SALES UISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEDI1CfI0\5 FOR TNIS PROPERTY. IDHNTIFi" ALL OF TNOSE THAT APPLY.
YFS NO CO\DR109 YFS NO COKDITIOY
� � 1. Will this property be [he buyer's primary �❑ 3. Homestead
residence? Provide complete address of primary � 4. Solar Energy Heating/Cooling System
residence, inciuding county: �
�G� �^ `� �0.�.Q � S. Wind Power Device
jjddrm(NumberandStrettJ / � l ❑ 6. Hydroelectric Power Device
`�'� n� 'F�'1 �N 4���1U �.��Y�hL ❑ 7. Geothermal Energy Heating/Cooling Device
Ciry, Smte ZIPCade co��n.
� � 2. Does [he buyer have a homestead in Indiana �o be � $• �s this proper[y a residential ren[al property?
vacated for this residence? If yes, provide ❑ 9. Would you like to receive Cax statements for this
complete address of residence being vacated, property �-ia e-mail? (Provide contact injormadon
induding county: below. Please see instructions for more information.
Not available in /a�ll rounnes) �/ _ O� p'
Addrm' (A'umber and 5nett) � / fi / �+_O �( �O _ / � �O? y � O
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Pnmoryproperryowner�onmc[name E-mail
Under penalties of perjury, t 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 641-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homes[ead Deduction is
being filed.
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License/lD/OrherNUm6er Number Lirense/ID/OtherNumber
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