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HomeMy WebLinkAboutHomestead_Grimes INDIANA SALES DISCLOSURE FORM SDI'ID SDO ID 1786751 Page 2 r •D.PREPARER - - • -• Peggy A.Ralston Title Assistant Prrparer ofthr Sales Disclosure Form Tide . 3101 N.Green River Road Suite 130 Trustworthy Land Title Co., Inc. Address(Number and Street) Componr Evansville,IN 47715- 812-471-8563 pralston @twtitle.com Cin'.Stare,and ZIPCode Telephone N Number E-mail E.SELLER S GRANTOR S • Michael L.Neuman The Jane Ellen Neuman Trust by Jane Ellen Neuman,Trustee Seller I-NOME'a,appears on convevorae document Seller 2-Name as appears on conveyance document 208 Hawthorne Drive 1902 Cottonwood Drive Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Princeton, IN 47670- Under penalties of per' rv,I hereby certify that this Sales Disclosure to the best of my knowledge and belief,is true,correct and complet-%s rely red by law,and is prepared in accordance with I 6-1.1-5.5,"Real Property Sales Disclosure Act" \ GSign^•,r .r J. der ry Sign of.Ceher — — .. U- Ht& 7±41.,L;:' —1' _ ,4,1 i=�_�3 "mice „".r>n."„ .Dr Pn�.n� Cony into rvn.r,n q,,,, -. r.UYER(j/GRANTE: S)-APPLICATION FOR PROPERTY TAX DEpUCTI'ONS- IDENTIFY It.L ITEMS THAT APPLY - a Ronald J.Grins Dtorothy N.Grimes ,.amearappenrson conveyance ddocument ro- . : - - wars an conveyance dueumenr 9622 Basil Drive Address(Number and Street) Address(Number and.Street) Evansville,IN 47725- Evansville,IN 47725- 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 NO CONDITI T © ❑ 1.Will this property he the buyer's primary 1 © ❑ 3.Home d 7�1 ! lk residence? Provide complete address of primary _�__ - - ergy�e- g :e' vstem• residence,including county: 1903 S.BOULEVARD PLACE ❑ © S.Wind Pottitpeyic Z(� Address(Number and Su vet) ❑ © 6.Hydroelectric•Poow r uM1ice Princeton.IN 47670 GIBBON ❑ © 7.Geothern Energ•Heating Cooling Device pry,State ZIP Code County © ❑ 2.Does the buyer have a homestead in Indiana to he ❑ © 8.1 'hhigis��pN Ciao rental property? vacated for this residence? If yes,provide ❑ © 9.4 ot%yblirtl e e IiidflT Stements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. 9622 BASIL DRIVE Not available in all counties.) Address(Number and Street) // �f / M 7 Evansville,IN 47725 VANDERBURGH o42 -/, —/7- do'j`— OM. Ago O Lay,Store ZIP Code County Primary property owner conuscr name E-mail