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HomeMy WebLinkAboutHomestead_Woolsey (2) LNDLANA SALES DISCLOSURE FORM SDF ID SDO ID 1768317 Page 2 1 Peggy A.Ralston Title Assistant Preparer of the Sales Disclosure Form Title 3101 N.Green River Road Suite 130 Trustworthy Land Title Co.,Inc. Address(Number and Street) Company Evansville,IN 47715- 812-471-8563 pconner @twtitle.com City;State,and ZIP Code Telephone Number E-mail _IE'SELEER S `GRANTOR 5 -fir- Kelly J.Goodwin a/k/a Kelly J.Goodwin(Vidal) . Seller I-Name as appears on conveyance document Seller?-Name as appears an canvmmuce document 315 Mill Street Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Under pe hies of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cup •lete .s required • - ,an••repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". j JgnatureofSeller 4211 & P •uW` Signatureo(Seller .1<4 . ei. 1,\12j194 CV 144) 41(0-I3 p., .o, q'..,,,p n(Cuau, v""nn.r tiM_^mmvn V d ammo orcaner cm.,n r,a.nonm+ E.!BUYERS GRANTEES),=APPLICATION;FORPROPERTy'TAXDEDUCTIONS IDENTIFYALL'ITEMSTHAT.APPLY - ; Seth M.Woolsey McKenzie G.Woolsey t-„ame as appears on conveyance document Bates 2-Name os appears on conveyance document 418 W.Walnut 418 W.Walnut Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton, IN 47670- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YE • I ION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homesteae residence? Provide complete address of primary ❑ 3 4.Solar Energy Heating/Cooling System residence,including county: 812 N.MAIN DRIVE ❑ © 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Oakland City,IN 47660 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County © ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property a residential rental property? 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. 418 W.WALNUT .• •'• r - " Address(Number and Street) Princeton,IN 47670 GIBS• ' 24 -/ -,/r-/v ' -QOM, 509_co 2 City.State ZIP Code Coon., :mail .. .,er contort name