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HomeMy WebLinkAboutHomestead_Farmer (2) • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER • Jeff Bosse General Manager Preparer of the Sales Disclosure Form Tide 501 Main Street Bosse Title Company Address(Number and Street) Company Evansville, IN 47708 812-421-4000 City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) ':' - :-4 - •_ ': r ', t ''` .' • Brittany M (Vaughn)Lynch Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document _(cry (At) Poplar fhte Address(Number and Street) Address(Number and Street) pr;,n- 7,-\ IA) L/%s 7o Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complet- a required by la r:nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Laster _ ILL S;-.: tore 1 / JUN 0 7 2013 Signature of Seller Brittany M (Vaughn)I ynrh Printed Name of Seller Sian Date(MM/DO/WM Printed Name of Seller Sian Date(MM/OD/irrn F:BUYER(S)7GRANTEE(S)=APPLICATION FOR PROPERTY:TAX DEDUCTIONS-IDENTIFY,ALL lTEMS':THAT APPEY3,;::: ,_Y' _ ' Daniel L. Farmer _ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5816 Whitethome Drive _ _ -__ Address(Number and Street) Address(Number and Street) Evansville, IN 47710 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION Y r.>trI'rw ._- ❑ 1.Will this property be the buyer's primary No ❑ 3.Homestea. residence Provide complete address of primary - 4.Solar En�F�' g/ em residence,including couple: ❑ /_a4 u) DL �U 4ve S.Wind Po D i 4fl rest a'''���ppp���rand Street/ft/ _ /� fl ❑ NE 6.Hydroel c (�/ L 7 0 SOA' ❑ '❑ 7.Geothermal ERe{gy}1aa,i Cooling Device City State Zl Cade County rJtYU IV 1.� [U r� ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this grope a rest entia rental property? vacated for this residence? If yes,provide ❑ 9.Would you li o receJve ments for this complete address of residence being vacated, property via ' . contact information including county: be/oveytm ispciotgrpgtyopafpfivi9R,information. Not available in all counties.) Address(Number and Street) ‘P'"/I a_900. 001. .137_087 City,State ZIP Code County Vim• 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.) SignamreoJBoyer1/ Signature of Buyer2/Spouse Daniel L Farmer JUN 0 7 2013