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HomeMy WebLinkAboutHomestead_Scott (4) INDIANA SALES DISCLOSURE FORM SDF III SDO ID 1787428 Page P. D.PREPARER . I Angela M.Satterfield Paralegal Preparer of the Sales Disclosure Form Title 3525 Frederica Street Unit 4 Mattingly Ford Ttle&Closing,LLC Address(Number and Street) Company Owensboro,KY 42301- 270-240-4006 1 angie @mattinglyford.com City,State.and ZIP Code Telephone Number I E-mail E.SELLER(S)/GRANTOR(S) I Lee Roy Rickard Cheryl Rickard I Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance Flocurnent 403 Ivy Lane 403 Ivy Lane Address(Number and Stmt) Address(Number and Street) Owensville, IN 42301- Owensville, IN 42301- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co a lete as re I -red by Iaw nd is prepared in accordance with IC -1.1-5.5,"Real Property Sales Disclosure Act". Lit /� �� a / u� f, / �!,t, a . /c -ao-/3 Signature of Sell r Signature of Sell "� °O /C GI rGC Pa J _ /'S I •.1 c( • ." - c;-.rim ,.. P'-"pd 'r— rrla. r.,,n�,.•,ue,noon .BUYER(S)/GN'NTEE(S)-APPLICATION FOR PROPERTY TAX DE - - FY ALL ITEMS-THAT APPLY _ 4 Ricky Scott ( Dayna Scott I •'yer I-Nome as appears on conveyance document gar.-re ie as appears on conveyance'document .: Palladio Avenue 2348 Palladio Avenue I Address(Number and Street) Address(Number and Street) Owensboro,KY 42301- Owensboro,KY 42301- THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP RTY ne e's L OF THOSE TNAT APPLY. YES NO CONDITION YES NO CONDITION I © ❑ 1.Will this property be the buyer's primary ® Q 3.liomesteae i residence? Provide complete address of prima-�_m_7 •_...ne ner I H IaJnLC o s it '/ _ residence,including county: © I . �• �, 4o 3 X L, y LANE 5.Wind Power Device l 4014 Address(Number and Street) c 14 so N ❑ © 6.Hydroelectric plkw• u •INQwE WS V/LC E,�L.v y7�(o "°""'-CG1DLZ ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ © B.Is this proper��: resi e. �r eropem? vacated for this residence? If yes,provide ❑ © 9.WouldG(® p.qq •p- f- tatements for this complete address of residence being vacated, property via e-ma''ifil. 'ray d• • taco !formation including county: below.Please see instructions for more information. Not available in ell counties.) Address(Number and Street) - / , , / _/ - D#t"--a o323-60107 City State ZIP Code County Primary property owner contact name I E-mail