HomeMy WebLinkAboutHomestead_Miley (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
-D.PREP.ARER - -Jamie M. Smith Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd. Ste 201 Regional Title Services. LLC
Address(Number and Sweet) Company
Evansville. IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - -
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Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Sneer) Address(Number and Street)
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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 require by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
5 nature pjSelle:,/{•�}� � r�-v[�'1C��/P�\� Signature of Seller
Printed Name of Seller SionD .e Oaf/BD/ Printed Name of Seller Sian Date lHH/DD/YTY)
C F B//U//YER(S)/GRANT,E�JE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY,/ALL IT�E.MS THAT APPLY
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Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE.THA PP..JJ L �
YES NO CONDITION I YES NO CONDITION dddd A
❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead 5+ i � `
residence? Provide complete address of primary n Q 4.Solar Energy Heating/Coo�ig S�'ste m
Q esidence,including county: 04
QU NJ \dr,\- Qf1Tt n is S.Wind Pov�cj�ev cc
A dress(Nunbera dstreet) ❑ Q 6. Hydroelectnticovv r
C G IN La o C-D■bSon �
y ❑ Q 7.Geothermal Energy Ifeatip ling evice
City,State P ode County
❑ 2.Does the buyer have a homestead in Indiana to he n Q 8 Is this property a residential property?
vacated for this residence? If yes,provide ❑ Q 9.Would you like to receive tax stateme%ts 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) ��SS
City,State ZlPCde County
4 -/oa-oo1 00? 007
Primary property owner contact name E-mail