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HomeMy WebLinkAboutHomestead_Clayton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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 Randall Gene Irvin/Co-Trustee Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 801 East Vine Street Address(Number and Street) Address(Number and Street) Fort Branch IN 47648 • Under pe les if perjury,I h/certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ant c. pie • .s re.uired b nd is preps Imo with IC 6-1.1-5.5,"Real Pro�Eq Sklesfi4losure Act". ,/4i C.� •.7-//Ile—<� • i �._�d Si• •atreo Signature of Seller /�/ :as- -I- t I . t -- EA1• I Y AUW6�l DB MM/DD Printed Name o(Sel•r Sign Dote(HM/oD/YYYY) Printed Nameo(Seller { /YYY11 !F.BUYERfS)/GRANTEE(-)=`APPtICATION'PORPROPERTY TAXDEDUCTIONS-1DENTIFYALUITEMS.THAT:APPLY_- C, be,, /Brook G Cla on Allison M Clayton r - glIF In - , Bu r time as app rs on cony ace document —did.nark t Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION BPS NO rONmTI N LJ ❑ 1.Will this property be the buyer's primary 4 74 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System 1111—n SO SEA In iLding cQ \ y ❑ V I 1 y 5.Wind Power Device 1 (N mb•ra : e,) , ❑ 0 6.Hydroelectric Power Device 1 • O._l.c IOC X11 -� 1� '� 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code I County El ❑ 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 ❑ I 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) 6 -/9 -/?- .3o y -400- 3 5 7-0.2. 6 City.State ZIP Code Cou`ty - \\ an `1