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HomeMy WebLinkAboutHomestead_Heldt (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 CHRISTOPHER E.CARL ATTORNEY AT LAW 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 closinosOtruetitlein.com City,State,and ZIP Code Telephone Number E-mail :ESELLER(S)%GRANTOR(SC -1_14..__T __ ,,_,.- — _— _ KATHRYN A KIFSFL Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ‘,3 23 C°n' /fr✓I:rdc tcJ Address(Number and Street) Address(Number and Street) S/ 6e...2 /c/c►/ .1-✓ Y 7 (- /3 Telephone Number 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 corn I to as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature ofSel er Signature of Seller KATHRYN A KIFSFL 02/ 14 /2014 Printed Name of Seller Sion Date(MM/oD/MYI Printed Name of Seller Sian Date(MM/DDMYY) IF:BUXEN(S)/GRANTEE(Si AP,ELiICATIONtEOR'P,ROP;ERTIYJAXiDEDUCTIONS IDENTIF. AISOTEMSiTHAT.AP,P,IN7-- ,_»_w; ETHAN WILLIS HELDT Buyer t-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 8751 S. 1025 W. Address(Number and Street) Address(Number and Street) Owensville, Indiana 47665 Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TIA L - � YES NO CONDITION I YES NO CONDITION .- 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy HeatinMA Dllna S - I n residence,including county: ❑ 0 8751 S 1025 W 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Pow-q Aevic-_4 .f•Owensville. Indiana 47665 l ' �. .' ❑ z 7.Geothermal c4-t+ . cit jg City,State Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ g 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. 10004 Posey County Line Road Not available in all counties.) Address(Number and Street) •^I `�rV» ��/'� �y�J�'1 Cynthiana, Indiana 47612 Gibson ETHAN WILLIS HELDT ab—I 1 _a(�- )00- 0l.(/ '�1 is Oa City,State ZIP Code County Primary property owner contact name E-mail