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HomeMy WebLinkAboutHomestead_Loveless INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1763124 Paget :.(r 1 _1' 771_ —717[777— 7._ t - . ",ter'?-1_ .:pe99y A Ralston'. /7-- .. _. 7 • • Title Assistant -.: -Preparer of the Sales Disclosure Form__ Title., _. 3101.N.Green River Road.Suite 130 Trustworthy Land Title Co :Inca _ - .- Addres(NumberandStreet) - ' - Company '- _ Evansville•-IN 47715— 812-471-8563 • - 'pconner @twtitle.corn Ciryiitote,and ZlP Code • Telephone Number "' E-moil .. . -• 'Jeffery M.Hutchinson :. . _- . .Seller I:Acme as appears an conveyance document Seller 2-Name as appears on conveyance docum nt 1161 N.State Road 57..E . '- ` . . •'.Address and Street) Address @'umber and Street)• Oakland City,IN 47660-. ..- - - - • - - -- -- 7 -- Under penalties ofperjury I herebycertify that this Sales Disclosure to the best of my knowledge and belief,is true correct - : and plete egmred by law;'and is prepared in accordance with IC 6-11-5.5,"Real Property Sales Disclosure Act". i n reo(SeBer Signature of Seller 1c Fc, y w1 lcttiv> v�n 0-0Q 113 -- Pn r,(x of Cat c,nn lM r mmm mvn " Pn reef w mr nr cab, -gin,0- not,„,,w,•},E:.BUYER(WGANIFEE(SyL APP,LIGATIONIEORFOPERTiYTAX,DEDUCTIONS 'IDENTIEKAL'LITEMS:THATIAP,PLY .,• Tristan L.Loveless ..;_ . . . .. ... . . . _ .. . Buserl-Name as appears on conveyance document Buyer 2•Name as appears on conveyance document•2254 W.County Road 125 Sr . Address and Street) . Address(Number and Street) Petersburg,IN 47567- . • Telephone Number - - - E-mail THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. ._. .. .1•ES N0. - CONDITION:.' YFS NO CONDITION . . © L ... ® Q . .•Y1h11 this property be the buyer'sprimap• 3J. .. . cad .residence?-Provide complete address o(.primary 0 'n ' 4.Solar Energy.. Heating/Cooling System residence,including county: :© 5.Wmd-Power Device . 1161.N.STATE,ROAD 57 - Addres(NumberandStreet) 0 : '© 6.HydroelectricPower:Device Oakland City,IN 47660 GIBBON 0 ;0 -7..Geothermal Energy Heating/Cooling Device •City,State ZIP Code• - County ❑ t--1 ❑_ . . 8.Is thisproperty a residential rental.property? •2.Does thebuyer have.a homestead in Indiana to be' ❑ _L 9.Would you like to receive tax statements for this Comple for adre s ode side If e b , go ace. property via a mail?-(Provide contact information Complete address of residence being bacated, .- - : beloW-Please see"instructions for morelnforinatian. indudingcounty: t - . .. leina ..-. e... .-Not available in all counties.) Addres(Number and5ireet) �^� ` �Q c O^ ,q4-iy.-off OO 6 5 a Coun- .. City Score ZIP Cade 9 Primary property owner contact name -•- 7 . .- - E-mail Under:penalties ofperjury,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 6c1.1-5 5,"Real.Property Sales Disclosure Act".(Note: . o . .. . ._ . . . Spouse information,Social�Secunq'and-Driver's License/Other numbers are not necessary if no`Flomes[ead Deduction is .being filed. O - � A nature of Bt9er1 - Signature ofBuyer2/Spouse 7/05 L• •L iNQM`DS a a►'(3 Last 5 digits of Buyer 2/5pouse Drivers State - ,Last 5 Digiti'ofSocial Security License/1D/Other Number - -Number License/ID/Other Number- .. IN ■