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HomeMy WebLinkAboutHomestead_Klump' INDIANA SALES DISCLOSURE FORM A9 tt a- 0000a (07 SDF ID SDOM 715285 Paget ❑ © 4. Solar Energy Heating /Cooling System ' Michelle Haynes Closing Agent S. Wind Power Device Preparrrof the Safes Dlrebtur, Farm nde 6. Hydroelectric Power Device 501 Main Sheet. Ste 101 Bosse Title Company 7. Geothermal Energy Heating /Cooling Device Add ms(Numberaad Sweet) Ccmx,,y 8. Is this property a residential rental property? Evansville, IN 47708- David W. Becht Jr SeOer I - Name at appears m onveyance document 1004 Morda Court Address (.Number and Saret) Haubstadl, IN 47639- City, State, and ZIP Cade Debra J. Becht Seller Z - Name as appmm an canreyvncedxummt 1004 Monla Court Address (Number and Saset) Haubstadt, IN 47639- 60; Statq curd Z1P rode UndeS5 penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and ccitQlplete as rPflulr%d by liw, and 1 ;prepared In accordance wltht1�6�1 5.5( opyM$ ales Dlsc re Act". Brian C. Klump Buyer. I - Name as appears m caamm.cr document 120 N Third Street Address (Numbee and Smet) Elberfeld, IN 47613- OO,Stat4aad ZlPCaae Katherine M. Klump B,ryer Z - Name or .➢peon m mmeyaxe document 120 N Third Street AJdreu (Nambrrand Sweet) EJberfeld, IN 47613 - CIy Smee, end ZIP Cade THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY, IDENTIFY ALL OF THUSE THAT APPLY. x❑ ❑ 1. Will this property be the buyer's primary residence? Provide complete address of primary residence, including county: 1004 MONICA COURT Add,m (Nam4 readsmevrl Haubstadt, IN 47638 GIBSON CIty,Smm Zlpeade Cmmty x❑ ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide complete address of residence being vacated, including county: 120 N THIRD STREET Address (Number mW Street) Elberfeid, IN 47813 WARRICK L1ty,S1me ZlPCade Caunry Q (] 3. Homestead ❑ © 4. Solar Energy Heating /Cooling System ❑ © S. Wind Power Device ❑ © 6. Hydroelectric Power Device ❑ © 7. Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? ❑ © 9. Would you like to receive tax statements for this property via e-mail? (Provide contact information below. Please see instTVctions for more information. Not available in all counties.) a�- 18- 36- 403- Qcxl66 -079 _.___— E -mail Under penalties of perjury, 1 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 6.1.1.5.5, "Real Property Sales Disclosure Act ". (Note: Spouse Information, Social Security and Driver's License /Other numbers are not necessary If no Homestead Deduction Is being filed.) . A t-k d i i A 401 pmun L,Wl Name, Buhr] 1 S?an Uvu (N ✓ /nn /,'»'vI a/ swal Security Num