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HomeMy WebLinkAboutHomestead_Cherry INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1802782 Page 2 D.PREPARER _ .. , . . - . -. - - Peogy A Ralston Title Assistant Preparer of the Sales Disclosure Form Title 3101 N.Green River Road Suite 130 Columbia Title,Inc. Address(Number and Street) Company Evansville,IN 47715- 812-471-8563 pralston©columbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S)`-.' . . --. - - - - - - Jackie L.Ham Jackie S.Hamm Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 214 S.Lakeview Drive 214 5.Lakeview Drive Address(Number and Street) Address(Number and Street) Petersburg,IN 47567- Petersburg,IN 47567- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ample as required 1•law,and is prepared in accordance with IC 6-1.1- .5,"Real Prope Sales Disclosure Act". • � ' V- ,/ ., (qrptore Selfer ature f eller :/Q(!�-re L. Hamm 17- of-Al , a(ki-e ' Po 12- q./Li Pd "A V.^pnf Crain v„M- v•Dpwvvn P.-,rM• "!C•dl,,' Cron°r M/P"-+m+ " .•v 'rime pro — _ F..BUYER(S)/GRANTEE(S)-_.APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALLLITEMSTHATAPPLY-- - Emily K.Cherry Caleb Cherry — n n ( ei? '-"e.Bused-,Name as appears an conveyance document Buyer 2-Name as appears on conon veyance e 2686 W.County Road 250 N. 2686 W.County Road 250 N. Address(Number and Street) Address(Number and Street) h Petersburg,IN 47567- Petersburg,IN 47567- THE SALES DISCLOSURE FORM MAY BE USED TO APPLS'FOR CERTAIN DEDUCTIONS FOR iIS'SOPERnO IDENTIFY CONDITION aA,1. _T_.I YES NO CONDITION • © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead AV residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling S stWee residence,including county: 838 WEST OAK STREET ❑ © 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Oakland City,IN 47660 GIBSON ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,Stott ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to he ❑ © 8.1s this property a residential rental property? vacated for this residence? !ryes,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) Z f`,..1 3 _/ 3-" '903 0J /5/ 0o7 Cuy,.State ZIP Code County Primary property owner contact name E-mail