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HomeMy WebLinkAboutHomestead_Schlacks INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I 7 1 5:PREPARER_ -_ _ .- , . -- 1, - . - . - . • . - Christa Kingsbury Manager Preparer of the Safes Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 City,State,and ZIP Code Telephone Number E-mail • E: ATER(S)/6RANT012( ) . 7 _ .. '7' . 7172 - - - - - ._ _ -. Matt C Clark Seller l-Name as appears on conveyan docume t Seller 2-Name as appears on conveyance document �( \ t _U�^A- V j -Qt) S Address(ry�m�berand Street) 1 Address(Number and Street) 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". Signature of Seller ., Signature of Seller Matt C Clark ?�_� 'I Printed Name of Seller Sian Dote(MM/LID/YYYY) Printed Name of Seller Sian Date(.10f/DO/MY) F..BUYER(S)%GRANTEE(S) APPLICATION FOR PROPERTY TAX-DEDUGTIONS_JbENTIEY ALL ITEMS T PPLY - _- : . __-j__:: Elizabeth Schlacks Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 231 East Columbia St Address(Number and Street) Address(Number and Street) /on Oakland City, IN 47660 C' ay 2 •i- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR Tt11S PROPERTY. IDENTIFY ALL OF THOSE TIIAT APPLY.• YES NO CONDITION YES NO CONDITION 04 El ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead 0,9 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 151 S.Wind Power Device 231 East Columbia St Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode 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 ❑ 0 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 availabl in all counties.) Address(Number and Street) a_/ci_/_ 0,3-00i07e73- 602 City,State ZIPCode County -Primary property owner contact name E-mail