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HomeMy WebLinkAboutHomestead_StumpI INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Laura Thompson Title Processor Preparer of the Sales Disclosure Form Title 3101 N.Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville. IN 47715 812-471-8563 lauraecolumbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail Y,E?SELLER(S)jGRANTOR(S)-=---- -- ..---1 ---77. - 7 - - __- —__' -- ----.11 J Amanda.1 Brown Seller 1.A'ame]a1s. �ppevrso nvey ,ce datuman/'I Seller 2-,Name as appears an conveyance document I`/,-, a re`s(Num yer_annnd6 and Streit! I I%/4 '.2)C^/ Address(Number and Street) /, Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ka d compl'e�tteeTp�aas ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". cur Seller (F - �^^ Signature of Seller Amanda J Brown 90 trM 15 __ _ Printed Name of Seller Sian Dot U/OD/I nrl Printed Name of Seller Sian Date DIM/oo/YlYY) ,F.BUYER(SI/GRANTEE(S) AP,PLICATION.FORPROPERTY-TAXIDEDUGTIONS IDENTIFYALDITEh1S:THATAPPLY_^, Karen Stump Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 604 South Ninth Avenue Address(Number and Street) Address(Number and Street) Haubstadt. IN 47639 THE SALES DISCLOSURE FORK MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY.1 OF T OS AT PI Y.� YES NO_ CONDITION I YES NO CONDITION ❑ ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea1i.1L 3 0 2015 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: fl IN 5.Wind Po e 604 South Ninth Avenue lvtiL Address(Number and Street) ❑ 17 6.1124ag yat g t AOEfiroR Haubstadt.IN 47639 ❑ Crl 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 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. Not available in all counties.) Address(Number and Street) /!y�/ 3 Ins ��.,yo�� (q��( City,State ZIP code County 2&I'07` —oV-ac0 - 000.81l-006 l_ Primary property owner contact name E-mail