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HomeMy WebLinkAboutHomestead_Goedde INDIANA SALES DISCLOSURE FORM SDI:ID SDO ID 1778972 Paget D.PREPARER Cassie Williamson Preparer of the Sales Disclosure Form Title 226 West Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kinrbti @insighibb.com City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Phyllis J Nordhaus Seller I-Name as appears on conveyance document Seller2-Nome as appears on conveyance document 6001 O'Hara Drive _ Address(Number and Street) Address(Number and Street) Evansville,IN 47711- Telephone Number 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 co plete as re uired by law and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .�.� � Si of eo Seller V/5��� .Signature of Seller I t �! L r s T POOR 1�H MAE Pi-rM Nnn"n+Sd4r Sir"nnrerre'nnnY'ty, Print-iv?Vern.n/Uurr e,..Ormtas,mn/vsss+ F.BUYFR(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA YES NO CONDITION NO cosnmBN—r �e © ❑ 1.Will this property be the buyer's primary f ----LnL ❑ 3.Homestead M Jerry ■ �• Q�\� residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System �'�,s residence,including county: " 302 SOUTH MAIN STREET ❑ © 5.Wind Power Device `- 'GO Address(Number and Street) ❑ © 6.Hydroelectric Power Device c,0l� Owensville.IN 47665 GIBBON ❑ © 7•Geothermal Energy Heating/6 ' ng Device City,State ZIP Code County CC79 ID 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. • •i. - -- -, ea •r more information. Not available in all counties.) Address(Number and Street) 0161 - /7 -ld -,LOY - coo, 5 ti-v .ta- , City.State ZIP Code Co y