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HomeMy WebLinkAboutHomestead_Richardson (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 PA _. "D7PREPARER: ..- •- - Christopher E. Carl Settlement Agent Preparer of the Sales Disclosure Form Title 101 Plaza East Blvd,Suite 102 True Title Service, LLC Address(Number and Street) Company Evansville, Indiana 47715 812-402-6555 __ Dry,State,and ZIP Code Telephone Number E-mail EiSELLER(S)/GRANTOR(S) - . _ Damn A Wallace Melinda Wilkinson Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1005 S 1 incoln Street 1005 S 1 incoln Street Address(Number and Street) Address(Number and Street) Fort tTeleohoneNumber E-mail Under enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an cam lete as required and is prepared in accordance vit 1. -5.5,"Real to erty S les Disclosure Act". . ¶Slg reofSeller Si ` reoffeller Damn A Wallace / /2013 Melinda Wilkinson �P/ /2013 Printed Name of Seller Si :Thoth" /DU/YYYYI Printed Name of Seller SiahDate HX/DD/YYYY' ... . .... iEt.BUYER(S)/GRANTEE(S)_AP.P,LICATION.FOR•PROPERT:Y,TAX'DEDUCTIONS-.IDENTIF,1';ALGITEMS;THATAP.PLY.. _. . _- Jessica M. Richardson Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1005 5.Lincoln Street Address(Number and Street) Address(Number and Street) Fort Branch, Indiana 47648 Telephone Number E-mail 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 YES NO CONDITION ❑ 1.Will this property be the buyer's primary IZ ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Hea /10 ng S;r .,. residence,including county: ❑ S.Wind Power Dev 1005 S 1 incoln Street Address(Number and Street) ❑ Q 6.Hydroelectric Power Ievice ' ,p Fort Branch, Indiana 47648 Gibson ❑ 7.Geothermal Energy He`Jtin9/6d li{t%Device City,S te Cade County ❑ 2..Does the.buyer.have a homestead in Indiana to be ID 51 8. Is this property a res.,•ential rental property?vacated for-this residence? If yes,provide ❑ Z 9.Would you like to r• 1,_e.:.�a.»1 ents for this complete address of residence being vacated, property viaY) Wl(i:o b:- n rm6tion below. Please see instructions or� -inWrnapon. including county: f 5249 E 1075 N Not available in all counties.) Address(Number and Street) p_J).,�/^ Hazleton, IN 47640 _ Gibson Jessica M.Richardson at, -19-19-103-00090 0 We & City,State ZIP Code County 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 requir-: i law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note: Spouse information, r ecuri and D i ver's License/Other numbers are not necessary if no Homestead Deduction is bein: tied.)f gl s .n �� M,atareofBuyerl) Signature of Buyer2/Spouse Number License/ID/Other Number