HomeMy WebLinkAboutHomestead_Emerson (2) INDIANA SALES DISCLOSURE FORM SDF ID: Pa•e 2
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D.`.l?RBPARER'� ` 2�-k.r�.'� �''� .-:,-�+'�-i1= -_ .. •,.K.rr.:�. -�`�i .ha. ::::=.r3 .' _. .
Laura Rininoer Ctosina Coordinator
Prepare of the Sales Disclosure Farm Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services,LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
. o.y,State.and ZIP Cade Telephone Number E-mail .
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E#SELLER-[S}/ IZAN:TOR�]° "ice iht" ;f 5': s 'su .::. $` - +r r :e ; .
Frio J Wilkas •
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document'
5565 Mansions Ruff Apt 1104
Address(Number and Street) Address(Number and Street) i
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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 r
an plete as equired by law,and is prepared in actor once with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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I. Signantre of Seller / Slgnadire of Seller
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Printed Name o/SeRer Sign Date(VN/JJ/YYYI) Printed Name of Seller t s iJJl/RTJ t.
:F:BUYEk 5 G RANTELf(S.AP.ELICATIO gFOR'EROPERTY,TAX DEDUGf[QNS=1DENTIFWIr ALL 571—PA-TiAPPL IW:-,
J-i• . . Em-r on nMAR 2 2015
amt. appears on conveyance document Buyer 2-ffeme as appears an conveyance docu
9895 SO 1325 E
Addiw(Number end Street) Addrau(Number and Street) l
Oakland City. IN 47660 flat i
THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. I'.
YES NO CONDITION YES NO CONDITION I
Q ❑ 1.Will this property,be the buyer's primary r J 3. Homestead ")
residence? Provide complete address of primary ❑ U 4.Solar Energy Heating/Cooling System
residence,including county:
El fill
774 S Washington St 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Pr+iceton,IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ;; II
❑ Q 2.Does the buyer have a homestead in Indiana to be El 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Q 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
below Please see instructions for more information.
including county: Not available in all counties)
Address(Number and Street)
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C17'.Says ZIP Code County
nary pry tatt 1707)2 E-mail •
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