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HomeMy WebLinkAboutHomestead_Walker (3)INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 720427 Page\f? `D.PREPARER -� - Michelle Haynes Closing Agent Preparerof [he Sales Disclosure Form Title 501 Main Street, Ste 101 Bosse Title Company Address(Nunukrand Streer) Compaq, Evansville, IN 47708- E.SELLER S GRANTOR (S) Kenton L. Mayer Lucinda K. Mayer Seller I - Name as appm.a on ennvemnce document Seller Z - Name as appears on comeyvnce document 117 S. Damosa Drive 117 S. Damosa Drive Address (Number and Street) Address (Number and Saar) Haubstadt, IN 47639- Haubstadt. IN 47639 - 00ry State, and ZIP Code E -mail Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct any co plete as required by law, and is prepared in accordance with 6- 1.1 -S.5, "Real Prope Sales Disclosure Act ". N kcm Synatury ofseller i to nare of Seller Lc)i F. BU , —APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Shavm Michelle Walker BuyerI- Name as appmrs on mnveyan[ed cement Buyer2 A'ame asappmrs on com-eyance docvrnen[ 41 6th Avenue umber on Address (Numberand Street) Hau 47639 - City, State, and Zip Ckv, State. and ZIP Code E-mail Telephone Number Email THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLE. 1'ES NO CONDITION 'FS NO CONDITION x❑ ❑ 1. Will this property be the buyer's prim(primar ❑x ❑ 3. Homestead residence? Provide complete address ❑ © 4. Solar Energy Hearin ooling System residence, including county: 117 S. DAMOSA DRIVE evice ❑ ❑ 6. Hydroelectric Power Device Addre FVambercnd5treet) Haubstadt, IN 47639 GIBSON ❑ ❑ 7. Geothermal Energy Heating /Cooling Device ❑ © S. Is this property a residential rental property? City, State ZlP Code cmnui ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes, provide ❑ © 9. Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail? (Provide contact information including county: below. Please see instructions for more information. Not available In �ountfes.) I /�'�' ��O•�' Addrm (Number and Street) Ciry,Smte ZIP Code County Primary property awaerconmct name E -mail Under penalties of perjury, I 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 /1 brill ied.j - Si amrecfBUyerl Si9wtumofByvr2/5Pmm e bil Printed Legal Name of Buyer l Sign a- &(offluD/rvn1 Printed Legal Name efBuyer 71Spouse Sign Date(NM/oo/n») IN LostSdigits of 8uyerl Driver's State Last 5 Digits of Social Security Number Last5d('gitsofBuyer2 /Spouse Dover's State Last 5 Digits of5ocial Security License/ID/Olher Number Number License /ID /Other Number