HomeMy WebLinkAboutHomestead_GoodmanSDFID:
PrepareraJthe Sa/es Disdomre Form
� Addres(NUm6eranCSVeetJ �TAL T(TLE SERV!CES. LLC
19 N W F9UqT� c; �TE 500
Ciry,Smte,andZlPCade EVANSVILLE. IN 47708
JFRRY L SIMPSON
Seller ]-,Vame as apyears on romnnnre davmen[
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ANITA M SIMPSON
Se er 2- Name as appears on mm�eynnce dau . ent
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Under penalties of perjury, 1 hereby certify [ha[ this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and co�plete as required by Iaw, and is prepared in accordance with 1�'.6-].1-5.5, "Real Property Sa�es Disclosure Ac[".
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CHRIS J. GOODMAN
Buyer]-Nameasappevrsono rvantedoc�men[
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Address (Number and Stree[J
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IUCTIONS=.IDENTIFY�ALLiTEh9STHAT.APPCY,i':." "+- t'. , %`
TRICIA E. GOODMAN
B ��er 2� Name as appears on aonvevanre daumen[
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Addrus(NumberondStreeQ
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THE S,1LE5 DISCLOSURE FORM MAl' BE USED TO APPLI' FOR CERTAIN DEDUCf I0�5 FOR THIS PROPERTI'. IDE�TIFI',�LL OF THOSE THAT.IPPLS'.
� ❑ 1. 6Vill this property be the buyer's primary �
residence? Provide complete address of primary
//�� e side��l� clud�p�counry: —
1 ress(�1'umberandS q J - / 7 � �jJ /�� ,� /
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Ciry,Smre lode Counn
� 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? Ifyes, provide
complete address of residence being vacated,
induding wunq�:
:!ddres (M1'um6er ond Suret)
Ciry.Sm[e ZIP Code Counry
3.
ing/Cooling Sys�em
� /� 5. Wind Power Device
❑ � 6. Hydroelectric Power Device
❑ �7. Geothermal Energy Heating/Cooling Device
� � Is this property a residen[ial ren[al proper[y?
❑ �. Would you like to receive tax statements for this
property via e-mail? (Provide conmct informotion
below. Please see instructions�or more informatian.
Not availa6/e in all counties.)
o��-l0 3(o-4b0-ool.gaS-oal
vdm�..� �m�wrm ��.•mr mnrare name E-mail
Under penalties of perjury. 1 hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is [rue, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (No[e:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
b ' filed. v� )
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