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HomeMy WebLinkAboutHomestead_Thomas (2) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1783827 Page 2 D.PREPARER _ ' Judy Williamson Mortgage Loan Closer Preparer of the Sales Disclosure Form Title 4401 Theater Dr. Evansville Teachers FCU Address(Number and Street) Company Evansville, IN 47715- 812-477-9271 1210 jwilliamson @etfcu.org City,State,and ZIP Code Telephone Number E-mail ?E:SELLER(S)/GRANTOR(S)'2 ` Grisham Investment,Inc. Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 970 Huey Rd. Address(Number and Street) Address(Number and Street) Wadesville, IN 47638- Telephone Number 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 c m;rle as e� d law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".tar ram/Inv/Seller 7 Signature of Seller H / (.��lYY i /o Z-/3 P,+nted N„me nf6Bar Vim,(fro rmmnrvnvt Prinrad Almelo nfG2r Cron ante(mu innivvvsn F.-BUYER(5)/GRANTEE(S);:APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFYALL ITEMS_THAT.APPLY - • _ _ J Richard Thomas Jennifer Thomas Buyer I-ham os appears on conveyance document Buyer 2-Name as appears on conveyance document 8809 S.Meadow Ln. 8809 S.Meadow Ln. Address(Number and Street) Address(Number and Street) Owensville, IN 47665- Owensville, IN 47665- 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 YE$ _ND CONDJLON ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary a © 4.Solar Energy Heating/( oli © © g residence,including county: ❑ © 5.Wind Power Device 8809 S.MEADOW LN. OCT 1 1 1 2013 •Address(Number and Street) ❑ © 6.Hydroelectric Power Devices. . Owensville, IN 47665 GIBBON ❑ © 7.Geothermal Energy Heatin2[Coolin D ice City,State ZIP Cade County ,P(7CI ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8 Is this property a resider rty? vacated for this residence? If yes,provide ❑ © 9.Would you like to RIigNriacsQki i r1 TAW complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. N e' e e • .r a sorties. Address(Number and Street) a‘ - I1- a. ` -•/oo - 00 y. S/ S - oa/ City.State ZIP Code County ..."■ . _ Primary property owner canmctrame----- mau