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HomeMy WebLinkAboutHomestead_Halbig (2) INDIANA SALES DISCLOSURE FORM • SDF ill:_ Page 2 Pam Hancock title administrator/closer Preparer of the Sales Disclosure Form Title 221 NW Fifth St Lockyear Title, LLC Address(Number and Street) Company Evansville, IN 47708 812-421-8405 pamela @lockveartitle.com City,State,and ZIP Code Telephone Number E-mail ;E.SELLER(S)%GRANTOR(s)_ _ . a _ -. : •.. . . - Liry,State,and ZIP Code City State,and ZIP Code \'��val�s0l lI / V Lill/72- `Telephone Number E-mail Telephone Number E-mail 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 required by law,and is prepared in accordance with IC ,'-.1-5. Rea P op7r .$ales Disclosure Act". G Signature o 0 er Signature fSelles Greg A Halbig 3 i -at(-!S Lori I . Halbig 3-2.C-f- /5 Printed Name of Seller Sign Date(AUt/DD/YY') Printed Name of Seller Sign Date isiminD/YYY1) F.BUYERS)/GRANTEE(S)=APPLICATION'FOR PROPERTY TAX DEDUCTIONS__IDENTIFY ALL ITEMS THAT APPLY T- Benjamin A. Halbig and Katelynn N. Halbig, husband and wife Buyer I-Name as appears on cony nce document Buyer 2-Name as appears on conveyance document S 1i'\ S I 0 Address(Number and Street) Address(Number and Street) Ff Pj ' CA 1-i3 10b Lk. t IT � YES NO CONDITION YES NO CONDITKII r; 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homlesttea ry Co V.. residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/CC64t1?Ig tem residence,including county: ❑ WI 8929 S 100 W 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Ft B anch, IN 47648 Gibson ID (71 7.Geothermal Energy Heating/Cooling Device Ct ,State ZIP Code County El 2. Does the buyer have a homestead in Indiana to be ❑ VA 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. 5535 U.)0-I retf\-btn ' Not available in all counties.) r,boldress(Number and Street) vQ e�5 Ile -LN �]' c Vrw\e-hltrraL Z 6,—/F-Z3-/oo ooQ.oa y-oa5 City,State P Code County Primary property owner contact name E-mail