HomeMy WebLinkAboutHomestead_CurlINDIANA SALES DISCLOSURE FORM SDF ID:
D.PREPARER - . � � . . �
CHRISTINA M LENFERS CLOSING AGENT
Preparero/Ne5al�DrsdpsureForm Title
501 MAIN ST STE 101 BOSSE TITLE CO
Addren(Numberand5ore[J ' Campany
EVANSVILLE IN 47708 _{
E-mail
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Under
[iry, Smu, and ZIP
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Sel/er 2- Name as appears w ronveyanre dotvment
��O Addr�(Num6erandSUeeQ
Ciry, Smte, andZlP Lode
of perjury, l hereby cerdfy that [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
re�uiye�d by1�rv, agd'tg prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
Signamrco(Seller
Buyer 2- Name as appears on ronveyanm drcumene
Addr� (Number andSVeetJ
Ciry, Smte, andZlPCode
TNE SALFS OISCLOSURE FORM MAY BE I15ED TO APPLY FOR CERTAIN DEOURIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TNAT APPLY.
Q � 1. Will this proper[y be the buyer's primary �
residence? Provide complete address of primary
residence, including county:
sia�v Po�K s .r
ddres(NU berand5veetJ
�oQr ��AdeF�, T.v �76'l8 /,'�eso,�
Ciry.SmteZ/PCade Counry
� � 2. Does the buyer have a homestead in Indiana [o be
vaca[ed for this residence? If yes, provide
wmplete address of residence being vaca[ed,
including county:
7381 S i��� t,.�
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3. Homestea
4. Solar Energy Hea[ing/Cooling Sys[em
S. Wind Power Device
6. Hydroelectric Power Device
7.Geo[hermalEnergy Heatlng/Cooling Device
8. Is ihis property a residentia! rental property?
9. Would you like ro receive tax statements for this
property via e-mail? (Provide contact in%rmation
below PI ac caa�sformoreinformadon.
Notavailable in all
a� �/8-/3 -5�0/- 000. �id -o �..� �
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, [o [he best of my knowle ge an e , correct
and complete as required by law, and is prepared in accordante with IC 64.1-5.5, "Real Proper[y Sales Disclosure Ac[". (No[e:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) o �
�n orn.a�. �w�- i . ti Q
Signamreo(BUyerl Signamreo(Buyer2/Spovtt
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PnntcMLegolNumeofBUyer1 SlgnDate(MM/� PnntedLegalNameo(8vyer2/Spouse SignDale(MM/DD/rrYYJ
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LastSdigicso�BuyerlDriver's Smte LastSDigiuofSocial5xuntyNum6er LastSdigirsofBuyer2/SpouseDriver's Sta[e LastSDigimof5ocio15tturiry
License/lD/OtherNumber Num6er Liteue/lD/OtherNum6er