HomeMy WebLinkAboutHomestead_SmallINUTANA SALES DISCLOSURE FORh1 SDF ID: Pa e 2
D. PREPARER� ' '= -
CHRISTA KINGSBURY CLOSING AGENT
Preparero/Ne5alaDiulosureFOrm TiUe
501 MAIN ST STE 101 BOSSE TITLE CO
Addm_ss(Numberand5veet) Lompony
EVANSVILLE IN 47708
E-mail
E.SELLER S GRANTOR 5 ' -- '
DAVID N HICKS pNGELA D HICKS
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Under penalties of perjury, 1 hereby cer[i(y tha[ this Sales Dis[losure, [o the best of my knowledge and belief, is true, correc[
co as required by law, and is prepared in accordance with IC 6-1.1-5.5(�R�e.�ayl� P�rope�r[y Sales Disclosure Act".
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F. BUYER S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY -
BRYAN_M.$MALL
Bvyer 1- Name as appean on rom�eyantt davment Bv��er 2� Name as oppears on cmveyanre dotvment
2120 ASHTON CT APT 24
AdCress(NUmberandStrretJ Address(Num6erortd5trertJ
PRINCETON IN 47649
E-ma(1 Te/e haneNumber E-mail
TNE SALES DISCLOSURE FORM MAY BE USEO TO APPLY FOR CERT.IIN DEDURIONS FOR THIS PROPERTY. IDENfIFY ALL OF THOSE THAT APPLY.
YFS NO CO\DITION NO C08DI
Q � 1. Will this proper[y be the buyer's primary ❑J � 3. Homestead
residence? Provide complete address of primary � ,/ 4, o ar nergy Heating/Cooling Sys[em
residence, isSl_udinq�opnty:
Z��Q S� �r• �rE_ � �✓ 5. Wind Power Device
(Numberand5veet � ,_ ` �' •t'q ❑ ❑.� 6. Hydroelechic Power Device
�y�� �'y� � ❑ Q✓ 7. Geothermal Energy Heating/Cooling Device
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� 2. Does the buyer have a homestead in Indiana [o be � ❑� 8� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive [a�c s[atemenCS for this
comple[e address of residence being vacated, property via e-mail? (Provide contact information
including county: 6elow. Please see instructions for more information.
Notavailable in all counties)
Addr� (Number and Svee[J
�0-�3-19-�d- 000.r���os
Ciry. Smte ZIPCade Counry
Pn'marypmperryawnermnmc[name E-mail
Under penalties of perjury, I hereby certify that this Sales Disdosure, [o the best of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, S ial S urity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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