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HomeMy WebLinkAboutHomestead_Hadley INDIANA SALES DISCLOSURE FORM SDP ID SDO ID 1770015 Paget D. PREPARER . _ . Abbey Moore Closer_ _ Preparer of the Sales Disclosure Farm Title 3101 N.Green River Road Suite 130 Trustworthy Land Title Co.Inc. Address/Number and Street) Company Evansville,IN 47715- 812-471-8563 amoore @twtitle.com Lip'.State.and ZIP Code Telephone Number E-mail E..SELLER(S)/GRANTOR(S) . - . Daniel J.Doerner Megan E.Doerner Sellerl-Name as appears on conveyance document - Seller Z-Name as appears an conveyance document 7522 S 1000E 7522 S 1000 E Address(Number and Street) Address(Number and Street) Elberfeld,IN 47613- Elberfeld, IN 47613- 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". a crio.kemti N� E. K._ Signature of Seller r Sipnatnr a(5 Der r � 5-Q0-13 al_le .L.V-\ E- -6-rQ_c o r 5-0.0.13 Priwrd N.,,•..,,r Utb, cr„D„-ron•mrrnm a,.,rMAA' Cnlbr c..n-•pu..ro"main mo�r F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THATAPP,LY • Seth K.Hadley Jessica A.Manges Buyer I-Name as appear>on conveyance document Buyer?-Name as appears on conveyance document 1439 N.Co Road 500 E 1439 N.Co Road 500 E Address(Number and Street) Address(Number and Street) Winslow, IN 47598- Winslow, IN 47598- — 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 © ❑ L Will this property be the buyer's primary © ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Ileating/Cooling System residence,including county: 7346 S.DIVISION STREET ❑ © 5.Wind Power Device -. Address(Number and Street) ❑ © 6. Hydroelectric Power Device Oakland City, IN 47660 GIBBON n El 7.Geothermal Energy Heating/Cooling Device • tint State ZIP Code County have a homestead in Indiana to he ❑ © 8. Is this property a residential rental property? ❑ 0 2.Does the buyer- vacated for this residence? If yes,provide n n 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 all counties.) Address(Number and Street) ^C Cipt State 21PCode County 3 aD-14-303- 600 .W b- 00 a Primary property owner contact 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 being filed.) Siena:ore of Boyer] _/ ignature ofBin•er2/Spy le:a 4 i0cd` vs art-oJoG JQSSICC1 A. r