Homestead_Almond INDIANA SALES DISCLOSURE FORM SDF ID: — __ Page 2
D.PREPARER .
Stacey Salzman Closer
Preparer of tie Sales Disclosure Form Title
4962 Lincoln Ave First Advantage Title.
Address(Nuber and Street) Company
Evansville. IN 47715 812-490-8485 theteam(allirstadvantagetitle.com
City,State and ZIP Code Telephone Number Small
E.SELLER(S)/GRANTOR(S) •
David E Sickbed
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyancedocument
(-,(a A) srkrc kD 6,5
.A res(Number and Street) Address(Number and Sweet)
1‘,1)4.W_ 134 7o 34 1013 Lrl(eh 0
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 equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSeller Signature of Seller
favittF Siekert 1...06Idititi5
Printed Name of Seller Sign Date lMN/DD/ Printed Nome((Seller ' c.i /DD/YYYY)
F.BUYER(S)/GRANTE - TA•• W. s • 'ii ' • • il • RTY TAX DEDUCTIONS-IDENTIFY ALL ITE T PP 1
i.m; :4i e, a MIL. 11 Iii lk
/ iris Pp "^ ��" Buyer 2-Name as appears on conveyance document
/1 �o�, lam_. _
� 1 (05 JUL 1 3 2015
Address(Number Street
Add (Number and Street) i f7(0 j _` ( Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES,{ NO CONDn7ON
IJ ❑ 1.Will this property be the buyer's primary pt ❑�5 3.Homestead
residence? Provide complete address of primary '- M 4.Solar hnergy Heating/Cooling System
U(ICY r`e1bid`gcedpdingtounry: ❑ 5.Wind Power Device
/{ eft(Numberaa-ddStreet)�, ���1 t 1 `Q. \J ❑ 6.HydroelectricPowerDevice
Q n _ _1� �J e1 U ( R lV 1'V ❑ 6 7.Geothermal Energy Heating/Cooling Device
pry.State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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 instrucho . ee are information.
Not available in all counties.)
Address(Number and Street)
-.0 0 )
City,State ZIP Code Co
Primary property owner contact name moil
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