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HomeMy WebLinkAboutHomestead_HeathC C w LCDIANA SALES DISCLOSURE FORM SLIT m SDO ID 717037 Psge 2 D. PREPARER Abbey Moore Closer Prepaterofthe Saber Disclosure Farm Tide 3101 N. Green River Road Suite 140 Trustworthy Land Title Co. Inc. Addresr(NumbnaadStreer) Company Evansville, IN 47715- E. SELLERS GRANTOR S Wanda Wallace Sdkr I - Name as appears an eanvemnm document Sager 2 - Name as appears an mmryance document 542 W 400 N Addrar (Number and Sheet) Addrms (Number and Street) Patoka, IN 47666 - City. Smte, and LP Cade Cry, Szom ad ZIP Code E-mail Telephone Number E -mail Under penalties of perjury, hereby certify that thi Sales Disclosure, to the best of my knowledge and belief, is true, correct and.camplete a required b law, and is prepare n accordance with IC 6.1.1 -5.5, "Real Property Sales Disclosure Act ". I nature o /Seffn SignamrcaJSNler _ F. BUYER GRANTEES APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY '. Bryan J. Heath B, -Name rsonmmeyamed.,nent Bayer Z- Namewappmmmmnveyancedaumem 107 E. Foster Street Addrra (Number and Saeet) Add mr(.vumberand Street) - tranch, IN 47648 - City, State, and ZIP Cade �Cny,Siate,andZlPCade E -mail E -mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDURI OR THIS PROPERTY. IDENTIFY ALL OF THAT APPLY. YES NO CONDITION YES NO CONDITION ❑x ❑ 7. Will this property be the buyer.'s prima ❑1c ❑ 3. Homestead residence? Provide complete address of a y ❑ © 4. Solar Energy H -ng /Cooling System residence, including county: 542 W 400 N er Device ❑ © 6. Hydroelectric Power Device Address(Number and Street) Patoka, IN 47666 GIBSON ❑ © 7 Geothermal Energy Heating/Cooling Device ❑ © 8. is this property a residential. rental property? City. State ZIP Code county ❑ 2. Does the buyer have a homestead in Indiana to be vacated for this residence? Ifyes, provide ❑ © 9. Would you.like to receive tax statements for this complete address of residence being vacated, property via a -mail? (Provide contact inforrrlation including county: below. Please see instructions for more information. Not available in all counties.) D /�� `0 Lo � -a6 .�L'D /Q ,i/ 7Y Q AddretmeZfPbermd Street) Gy,Smte ZlPCode County _` Pdmaryprolser0- awnamnmttrmme Emaa Under penalties of perjury, l 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 6- 1.1.5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Drivel's License /Other numbers are not necessary if no Homestead Deduction is being filed.) rt fBuyeN StgaamreafBuyerZ/Spousr Sign= a —PrJ0.✓� S- liQa(l� x'18-11 Pn'nied ai NameoJBtryer 1. Sign Duff(MWDD/T M Printed Legal Name ofBayrr 2 1Spouse - - S{gn DatttM.w/w1" Digits of5ocial Security Number Last S digits ofliuyxr2 /Spouse Driver's State Last 5 DigitsofSocialSecurity License /ID /Other Number Number License /ID /Other Number