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HomeMy WebLinkAboutHomestead_Kramer (12) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER CHRISTINA M LENFERS CLOSING AGENT 0 Preparer of the Sales Disclosure Fonn Title 501 MAIN ST STE 101 BOSSE TITLE CO Address(Number and Street) Company EVANSVILLE IN 47708 (812)4214000 City,State,and ZIP Code Telephone Number E-mail ERIC M HFI MFR CHASTITY J HFLMER Serb-Name a pears on conveyance document Seller 2-Name as appears ronveyu¢e document k `f 3 ala( (1Ja un r� �w-- Add ss(Number and Stre ) Addre Number and vet) IN.-) 41�1 / G�/t L.1.7(08 ,7 ri(�anSlloIU.... Under penalties of perjury,I hereby certify that this Sales Disclos •,to the best of my owledge and bel• f,is true,correct � tt�eoytpl as re aired by law,and is prepared in accordance i I C 6- 1-/5,;ate 1 rap Sal isclosure Act". i ignature of Seller / Signature her r, •1 FRIC M HFI MFR ial ir� l� CHASTITY -R (ceI�ia01a Printed Name of Seller Siqn Da (M /DO/YYYY) Printed Name afSeller Siqn F•M/DD/YYYY) F.BUYER(S)/GRANTEE``(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY -_ - --_ J ( BRIAN KRAMER Se'SS i(LL I . IJIX pupas on cot eyance document �/��/ Buyer 2-Name as appears on conveyance conveeyancedocument L � .. . e• 4 • s D . C•01--P d ess(Numb rands eetJ , ,I 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 YES i2 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ i0 4.Solar Energy Heating/Cooling System eslde ce,incl mg county: . ❑ .y i ` rce(; _I�D S.Wind Power Device lgQtkess pireertaad�stree�t"v�� 1�./g ,t, U� ❑ 6.Hydroelectric Power Device cry,,S�toreiZ15vPyC-ode (n County ❑ GI 7.Geothermal Energy Heating/Cooling Device 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 ❑ NI 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: b- t • • -e • •• '• 't I or more information. Not available in all counties.) Address(Number and Street) 24 24 - 7-77 - 300Z _000 . 7e6 -0 .L-6 City,State ZIP Code County Primary property owner contact name