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HomeMy WebLinkAboutHomestead_Reding INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER ' - - -- Stacey Salzman Closer Preparer of the Sales Disclosure Form Title 4962 Lincoln Avenue First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 City,State,and ZIP Code Telephone Number E-mail F.SELLER'jS)IGRANTOR(S) i Richard Smith Monica Smith C's / 10J4, Seller I-Name as appears on conveyance document Seller 2-Nome as appears on convey', -ap. . 2 - 102 Fast Strain Street 102 Fast Strain Street Co,_ 'i,.' Address(Number and Street) Address(Number and Street) T l' Fort Branch IN 47648 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 regnuired by law,and is prepared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller I ' I /( Signature of Seller 1 / Richard Smith `-" Monica Smith / U'7 i-H- Printed Name ofSeller Sian Date/MAI/0a/YYY Printed Name of Seller Sian Date(MM/aa/YTY11 _F..BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS--IDENTIFY ALL ITEMS THAT APPlY - - - - Frank N Reding Kaitivn B LeGout B yerl-h'am a!a convey re ocument rBu rr 2-Nome as appears on conveyance document M- C C Y-1- • � NCO ) cl; s umbfr(•�n stmt) I Address(Number and Street) TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTH r, II Pi ;PLY. 1•ES YES /NO CONDITION NO CONDITION ,t J�❑ 1.Will this property be the buyer's primary N] ❑ 3. Homestead ((����^^rr QQ��99 residence? Prov'de complete address of primary ❑ © 4.Solar Energy He`QHdgitft. Qjikystem J �� r l� S.Wind Power De 're I t itjgnc�.inclu n IRA .cl ❑ IN 1 IL n '�(�1ambe n p � t ` ❑ Q 6.Hydroelectric " �: ‘Cl ( {1 �• 1 `�J�+ t�()� t� Mb .nu ❑ 7.Geothe I�FgWrP tgartYg/CfpIl�Pevice 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 ❑ 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 available in all counties.) Address(Number and Street) City,Scare ZIP Code County Primary /t/�' o, /// .00476 Primary property owner contact name E-mail •