HomeMy WebLinkAboutHomestead_Kramer (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ftiPREPARER , _ . ._ Y •e`_ `._'- _ —iCB s ---- _`_ `- - _ r, ' *
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Tide
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES, LLC
Addres(Number and Street) Company
EVANSVILLE. IN 47708 812-468-8485
Ci y,State,and ZIP Code Telephone Number E-mail
''E:SELL'ER(S)/G RANTOR(S).:n_:.dig,-,:_,.;:.,_:;2204 V ". ,r x v ,_.atP_'s`.,._..rn_ _.-s_t -a.rza ,. -. s
KYI F R BI ANKFNBFRGFR BRIDGET L NURRENBFRN
Seller l.Name as appears on conveyance document Seller 2-Name appears an conveyance document
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FT (Number and Street) y Addres('umber and Street) �(
t 1 . ( rr.hcA lug H7Lv(1 ! . a-dicin, -7-A1 6/7 %'
Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cq lete as eq ired by law,and is prepared in accordant ' h IC 6-1 -5.5,'Re 1 Property Sales Disclosure Act".
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SIgnat)u)re of Seller // // / /
• cinuture Seller
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P J Sian DO�fff(MH/Otf66/YYYf) Printed.am;a Seller Sign Date(MM/DD/YVYYI
rBUYER(S)7.GRANTEE(S APP.L•ICATION.FOR-P.ROPERDITAX,DE0 . ` II tSfIDENTIFYALL THAT.APPL-Y -__,Ti si-±Zt:
STUART J.KRAMER PATRICIA A.KRAMER
Buyer r-Name asap ars.. •nveyance document Buyer 2-Name as app on onwdce•• -ent
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- - 'Sraw�iiii iaz! q
Address(, mber and Sate Address(Number Street)
c -X3 2A:.`I-a zn 1+1 ti L+S Pot f(Number
N0 A IA) c/74 7f
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORT• . -asl• •TY.IDENTIFY A • OSE THAT APPLY.
YES . NO CONDITION YES NO CONDITION
Er ❑ 1.Will this property be the buyer's prima.. 0 ❑ 3.Homestead
residence? Provide complete address of p .4 ary ❑ s 4.Solar Ener'. - •ating/Cooling System
rest peel including county: Vr ;.Wind Power Device
0Ma A). , fi,,, S/ e&r
m iv bNirCt7 /NNN T j7 /g / /?J SO A ❑ Q 6.Hydroelectric Power Device
❑ TA 7.Geothermal Energy Heating/Cooling Device
City,State II Code County
ID 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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) of • 000 7d 61 Ode
City,State ZIP Code County
/� ..
Primary prapery owner contact name E-mail
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".(Note:
Spouse information,Social Sec ity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being fi ed.)
Qa4__ve._1/4, ,,.,-)
Signature ofBuyerl a Sig:A we re o Buyer2/Spouse
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