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HomeMy WebLinkAboutHomestead_Marvel INDIANA SALES DISCLOSURE FORM SDF ID: _ - Page iDPREI?ARERt in:-‘11,; ' � .r t( ._,� f �. .�.-�- Pz . — — _� _ - _ Laura Rininger Closing Coordinator Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd Ste 201 Regional Title Services,LLC Address(Number and Street) Company Evansville, IN 47715 812-759-5555 City,State,and ZIP Code Telephone Number E-mail LE'SELLER(S)/GRAhTOR(S), • _ v Shawn F Rasing Brooke I Rasing Seller 1•Name as appears on conveyance document Seller 2'Name as appears an conveyance document 15946 W Wrigley Dr 15946 W Wrigley Dr Address(Number and Street) Address(Number and Street) Evansville IN 47725 Evansville IN 47725 Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is tnie,correct a complete as re uired by-law,and is prepared in accordance w h IC 6-1.1-555,' ,eal Property Sales Disclosure Act". I )ICtr( ,4 ' 71 a '" � C Signature of Seller Signature of Seller 04/30/7013 Brooke L Besing 04/30/2013 ;;hewn F Resing Printed Name of Seller Sian Date(xu/DD/YYTY1 Printed Name of Seller Sian Date(xM/DDYY11 - _F.BUYER(S)%GRA'N,TEE($)',=APPLIGATION:EOR it-oRERTY TAX,DEDUCTIONSLIDENTIEXAIMITEMS THAT APP.LIS -,::1 i - Jonathan S.Marvel Kathleen E.Marvel Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 647 Sleepy Falls 647 Sleepy Falls Address(Number and Street) Address(Number and Street) Evansville, IN 47712 Evansville, IN 47712 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ SI 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 5,Wind Power Device 100 S Church St ❑ 0 6.Hydroelectric Power Device Address(Number and Street) Ft.Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ NI 8.Is this property a residential rental property? ❑ Q 2.Does the buyer have homestead in Indiana to be ❑ 9.Would you like to receive tax statements for this vacated for address s o sie If yes,provide vacated, property via e-mail?(Provide contact information complete couness of residence being vacated, below. Please see instructions for more information. including county: ^^ Not available in all counties.) Address(A'umberand SVeet) IL. 19_ 1 $ .303 coo a 10-5 D a b City,State ZIP Code County Pnmo roe wne(r7contact name Email 7p property 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 Hom tead Deduction is bet e.) n �- �9 r �c ��A CX .49.„, Si attire of Buyer! Q ,(� Si atj eaalBBuuyerr2/Sp�dltiv� 4/30/2013 Kathleen E Marvel 4/3017013 Jonathan