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HomeMy WebLinkAboutHomestead_Helsley INDIANA SALES DISCLOSURE FORM SDF ID: Pace 2 D:PREPARER._ ' • Jamie Perry Closing Services Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd, Ste 201 Regional Title Services LL Address(Number and Street) Company Evansville, IN 47715 812-759-5555 Jamie.perry(ohregionaltitlellc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTER(S) - - Estate of Robert P Phillips deceased Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2011 Glenwood Drive Address(Number and Street) Address(Number and Street) Princeton IN 47670 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .SL \. a try . ‘ IL• e - •natureo el r Signature of Seller 1 inda,l Barton Personal Representative 06/11/7014 Printed Name of Seller Sian Date(MM/DD/1'YYY) Printed Name of Seller Sian Date IMM/DD/YYY11 F:BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAR DEDUCTIONS=IDENTIFY ALL ITEMS THAT APPLY Randal Scott Helsley Leah Kristine Helsley Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 12560E 275 S / ;/ %o C. 275 5 Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Oc,/c(R.IJ Cl...1 ) ;lc nt/ 2/76&0 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 1'ES NO CONDITION I YES NO CONDITION 0 �TL ED 1.Will this property be the buyer's primary ❑ 3. Homestea 1 residence? Provide complete address of primary n 0 4.Solar Energy Heating(Cooling System residence,including county:Drive I�II�I 1 3 2014 5.Wind Power DetYCC 2011 Glenwood De Address(Number and Street) ❑ 0 6. Hydroelectric P wer Device Princeton, IN 47670 Gibson n 5 7. Geothermal E ooling Device City,State ZIP Code County El 12 2. Does the buyer have a homestead in Indiana to be n 0 a Is this p �tQylLaCr � � 4�4 #operty? vacated for this residence? If yes,provide n 12 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. Not available in all counties.) Address(Number and Street) d6- L t-tDc 103 -oo2 . 1 ( `l-© City.5tore ZIP Code County Primary property owner contact name E-mail •