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HomeMy WebLinkAboutHomestead_Casey (2) • INDIANA SALES DISCLOSURE FORM SDF ID: . Page 2 DIP,REPARERL ' --- S--i '":_:11::'--,' -' `'=`ice �- - - -- -'- - I'i_ '-1 _ a'_-� __,_T:.:_.• 12, Randall K.Craig Attorney at Law I Preparer of the Sales Disclosure Form Tide _5000 East Virginia Street,Suite 1 Law Offices of Randall K. Craig Address(Number and Street) Company I Evansville,Indiana 47715-2672 812/477-3337 rkc@rkcraiglaw.com _ City,State,and ZIP Code Telephone Number I E-mail ` E:SELLER(S)%GRANTOR(S):-_ :_: V:_- : s` . `- .t=`' ..; '.'C1._: ';; 4 �. _. c. Sally A Matthis attorney-in-fact for Mary P Srhile I Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4055 Cedar Bluff Lane __ Address(Number and Street) Address(Number and Street) Junction Illinois 62954-2735 Telephone Number I E-mail Under pen hies of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and,comp to as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /nf��''"(n�/ hiR afft, lEp..I.-F,,LF hr Il1a 41 'irk,, Sig,ature (Seller ) I Signature of Seller Salty A atthis attorney-in-fart Mary P Schile 11/11/13 Printed Name of Seller Sian Date(MM/DD/YYn1 Printed Name of Seller I Sion Date(MN/DD/YYY1') J. BUYERS)/GRANTEE(S) APPLICATION,FOR.PROPERTYTAKDEDUCTIONS77IDENTIFY:ALIITEMS[THATAPPL-Y `W r-1 Keith E.Casey Shelly S.Casey I Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 6255 S 650E 6255 5 650 E -_ Address(Number and Street) Address(Number and Street) Fort Branch, Indiana 47648 Fort Branch, Indiana 47648 - .. Telephone Number I 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 I Z ❑ 1.Will this property be the buyer's primary IZI ❑ 3.Homestea I gg�gg''�'1111� residence? Provide complete address of primary ❑ © 4.Solar EneHiti g/C ytg':t)m residence,including county: ❑ 5.Wind Poly D Add5rs3(Nu0 E mber and Street) ❑ 0 6.Hydroelectric lIdPII'�weroD yyy�����j Fort Branch, Indiana 47648 Gibson ❑ 0 7.Geothermal EfthY4y Rain/tooling Device City,State ZIP Code County I ❑ Fd 8.Is this proper a reside ti.l en . property? ❑ 7 2.Does the buyer have a homestead in Indiana to be / vacated for this residence? If yes,provide ❑ 0 9.Would you Ikt t ...1-41,,70P: statements for this complete address of residence being vacate propeiSIBS @SJl4'' e• 44401frOPPformation including county: below.Please seelinstructions for more information. Le Not available in all counties.) Address(Number and Street) 2_�� Zc-o1 ( 0n m1' /9'c ' C. Keith E.Casey and Shelly S.Casey City,State ZIP Lode County Primary property owner contact name I E-mail