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HomeMy WebLinkAboutHomestead_Anderson (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 `D PRERARER__ r-- _ -..:. ,7:727-... __ :7_::_. _ : ec=-.- 7-717c--7-7-.------7-F-7-7-,--.---72,772.--1 . CHRISTOPHER E.CARL ATTORNEY AT LAW I Prepares 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 closings@truetitlein.com Ciry,State.and LP Code Telephone Number I E-mail ;E:SEELER(S)/GRANTOR(S) _7. : : .71_ ..t_ =__, -'71 `- AARON JOST CONSTRUCTION I LC I - - - - Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 504 E Locust Street I Address(Number and Street) Address(Number and Street) Fort Branch Indiana 47639 Telephone Number I 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 cam s re aired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signamy ''. erer v Signature of Seller AARON JOST President 12/ I U /2013 Printed Name ofSeller Sian Date(MM/DD/YYYY) Printed Nome of Seller I Sian Date(MM/Da/YYYil 3E.'BUYER(SWGRANTEE(S)rAPPLICATION,FORcRROPERri ffAX-DEDUGTION5)IDENTIF,Y AEL ITEMSITHAVAP.PCY=_ ' ANDREW LEE ANDERSON Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 904 S. Center Street I Address(Number and Street) Address(Number and Street) 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 I7] ❑ 1.Will this property be the buyer's primary 171 ❑ 3.Homestead residence? Provide complete address of primary 4.Solar Energy I o lint e D residence,including county: ❑ © gy He a �t 0 IN S.Wind Power De e 404 S Center Street 1 Address(Number and Street) ❑ 6.Hydroelectric Power Device t(LL1 Fort Branch Indiana 47648 Gibson ❑ 0 7.Geothermal Energy A&7Firltagb'll g Device city,State Code County ❑ TA 8.Is this property a res'dential renta pro r erty? ❑ 2.Does the buyer have a homestead in Indiana to be I . vacated for this residence? If yes,provide ❑ 0 9.Would you like to •i, ;;r tiJi 7y■ ents for this complete address of residence being vacated, property viaei :'u . • y ''r Fgnj gtirig ration including county: below.Please'see instructions for more information. 2986 S 550 W Not available in all counties.) Address(Number and Street) /_ faj /1 ?�/1� Ar Owensville, Indiana 47665 Gibson ANDREW LEE ANDERSON a(//-i 179-10 wV.DO 9't22 City,State ZIP Code County Primary property owner contact name I E-mail