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HomeMy WebLinkAboutHomestead_Yancy ■ INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1795210 Page 2 D.PREPARER • Abbey Moore Closer Preparer of the Sales Disclosure Form Tide 3101 N.Green River Road Suite 130 Columbia Title Address(Number and STmU Compaq Evansville,IN 47715- 812-471-8563 abbey©columbiatitlegroup.com City,Stare.and ZIP Code Telephone Number E-mail • E.SELLER S "GRANTOR S Daniel C.Thurston Kathi A Thurston . Seller l-Name as appears an conveyance document Seller?-Name as appears on conveyance document 124 N 1150E 124 N 1150 E Address(Number and.Street) Address(Number and Street) Oakland City,IN 47660- Oakland City,IN 47660- . Under enal ies of erjury, ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c p e a equire v law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". fi atureo Seller ' 9n f �• Sig amre of G. (w�,arr a -�-a0 -/ 4 e -rifi, 6 ..o„o ..-t 1 ■+^•M A'rtme nr Crnr- Sire/Mm t um mnWW' PnoM N•ima nrc041,- Pi", -.r• m M+:+ F.•B RS NTEE(S)-APPLICATION FOR PROPERTY TAXDEDUCTIONS-1DENTIFYALL ITEMS.} `l' TP'iY Daniel S Yan Charlotte M Nancy � • T- Buyer I-Name as appears on conveyance document ' Buyer?-Name as appears on conveyance document 614 W Main Street 614 W Main Street A11C-i E2tli i 01T Address(Number and Street) Address(.Number and Street) '� Lebanon,IL 62254- Lebanon, IL 62254- 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 AUG 4 2014 © ❑ 1.Will this property be the buyer's primary I © ❑ 3.Homestea residence? Provide complete address of primary . o ar nergy Hea�Cool' 1a . residence,including county: t. 615 SOUTH BARN LANE ❑ © 5.Wind Po COUNTY AUDITOR Address(Number and Street) ❑ ❑ 6. Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device . City•,State ZIP 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 ❑ © 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) - 66-l/-/S-/DO -003.803 - 0.2 Ow,State ZIP Code County Pn - _ - . . .•. ... ,mail -