HomeMy WebLinkAboutHomestead_Powers (3)9NDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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LANAC.HARPER CLOSER
Preparero(the5algDiulosureForm Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES. LLC
Addr�(Numberand5veet) Company
EVANSVILLE.IN 47708
E�mail
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E.SELCERS GRANTORS .+m��.,... '..���;i,� .'�t�,�., �,-<� ` ��'^_-�� � � i >��.'�:'. ..�.c:
VAl1GHN C HAAS SKYE R. HAAS
Seller 1- Name as aypears on tonveyanre davment Seller 2- Name as appevrs on conveyanre docvmm[
57'I 5 N 550 E 5715 N 550 F
Addras (Numberond 5veet) Addr� (Num6er and 5vee[)
PATOKA. IN 47666 PATOKA. IN 47666
Ciry.Smte, andZlP Lode liry, Smre, and ZIPCOde
E-mail
Under penal[ies of p•jury, 1 hereby certify that [his Sales Disclosure, to the best of my knowledge and belief, is tne, correc[
and com Ye e as req� ired by law, and is prepared in accordance withr'C 6-1.1-5.5, "Real Proper[y Sales Disdosure Act".
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�F.BUYERS GRANTfiES'd'APPLICr1TI0N��FOR�PROPERTYTAkDEDUCTIO�S-:IDENTIEY,-AL�ITEMS'THATAPPLYv�- � -• '-�k�
MARY l. POWERS
Bu}•erl-Nomeasappearsonrome� nredorumen[ Buyer2�Nameasappearsonronvryancedrcumen[
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TNE SALES OISCLOSURE FORM p1AY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERN. IDENTIFY ALL OF THOSE THAT APPLY.
1'ES 60 CO\DITION I �O
� 1. Will this property be the buyer's primary ✓ �
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence includin coun
�� Y���U�� �� � Q 5. Wind Power Device
�dres(NUm�y�a�eseKy /� �.,C,� ❑ Q 6. Hydroelectric Power Device
(il1fP7�(1 , tlV� %�91C) l,'iL1�n- � � 7. Geothermal Energy Headng/Cooling Device
Ci,N,SmleZ/ Cade �QUnry
❑ � 2. Does the buyer have a homes[ead in Indiana [o be � �$• �s this property a residen[ial rental property?
vaca[ed for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive [ax sta[emen[s for [his
comple[e address of residence being vacated, property via e-mail? (Provide contoct informotion
including county: be(ow. Please see instructions for more information.
Not availa6le in all coundes.)
Addrea (Numbe� and Svee[)
a�- � a-m-�+oa.- do3 .ig 3-o as
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Pn'mary pmperryawnertonma name E-mail
Under penal[ies of perjury, t hereby certify tha[ this Sales Disclosure, to the bes[ of my knowledge and belief, is tne, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homes[ead Deducdon is
ein filed.) C�
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Signamr aJB er1 SignamreafBuyer2/Spouse
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LastSdigirsofBuyerlDriver's Smte Las[SDigiuo(Sotial5eturityNum6er LastSdigiGSOjBuyer2/SpouseDriveri Stnte LastSDigiCSa(SocialSecurity
License/10/O[herNumber Number License/lD/OtlierNumber