HomeMy WebLinkAboutHomestead_Osborne (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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CHRISTINA LATHAM TITLE CLERK
Prexrer of the Sala-Disclosure Farm Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Ak^nber and Srec) Company
EVANSVILLE.IN 47715 812-402-4553 __CHRISTINA(a)REGIONAL-LT.COM
0%State,and ZIP Code Telephone Number E-mail
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Marin A Defence Emily DeFelice
4S ler I-Name as appears on conveyancedon:m Seller 2-Name as appears on conveyance document
as° /9 co 'ii,) Pct 5 2 2sQ( 7 semi J2cf 5
Address(Number and Seel) ' dress(Number and 5aeer)
XWPtPAc -o Ms/ 13 763 [)\ worry-d mA/ 5763
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 6x.1.5.5,"R.al Property Sales Disclosure Act".
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S4naa:reofSeller Signcu:re of Seller
Merin A Defef e /_]y// 7 -,Aa-LZo s mile DnFelice - ZZ - G
Printed Name of seller Si Yn Date(MM/DD/Ym) Printed Name a(Seller %n Dare potpDAT'11
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David E.Osborne I JUFStIfle M . Osborne
Bc:r i-Name as cppecrs on conveyance document Burr 2-Name cr appears an conveyance document
X5l'-3 5: lo.--,Re- bi-, • same
A,d�.' (Number and r.)Sue Address(Timber and STee.)
A. G./arii✓f 113 - N. i 771 Z 5k ale
0 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES CONDITION I YES CONDITION /,/,.
D .1.Will this property be the buyer's primary C7 0 3.Homestead 27
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heat Coc�y(ISystem 20/1
residence,including county: ❑ '7$ J(/", -
S.Wind Power Device SOA(,47ts; 1
129 S Wumberc`on St _ _: //
Addrzs(Nan_berands-ta) ❑ s 6.Hydroelectric Power Device ' J�
Princeton.IN 47670 Gibson ❑ 19 7.Geothermal Energy Heating/Cooling Det'
Li):State ZIP Code County T r'r
❑ n 2.Does the buyer have a homestead in Indiana m be ❑ 0 8.Is this property a residential rental property
vacated for this residence? If yes,provide ❑ Ti 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.
Not available in all counties)
Address(Nummbe-and Street)
Qv,State ZLP Cade County ZG—/vP 0-7-4/.007 0007 -757 0018
Primary property owner contact name E-mail