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HomeMy WebLinkAboutHomestead_Almon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -2I5.:RREP,ARER^ M_ _N-r- ---- - - ___- ,._- �..�_--- -- _ . _1 Abbey Moore Closer Preparer of the Sales Disclosure Form Tide 3101 N.Green River Road Suite 130 Columbia Title Address(Number and Saeet) Company Evansville. IN 47715 812-471-8563 abbeyecolumbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail -E:SELLER S /GRANTORS , -------__ '--- --- - - ---- — -- - ----- - - — • - ---° - -��---- Kimberly A I ewis Seller I.Nme ap on con anted u ent Seller 2-Name as appears on conveyance document 1004 6 .(-Q11--✓(5t'- +I .tiaress44nber 101eA)/ ' illioli/11 Address(Number and Street) 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 6-1.1-5.5,"Real Property Sales Disclosure Act". as �, n �S Si nature of Seller J — Signature of Seller Kimberly A Lewis 8/4/15 Printed Name of Seller Sian Dare(MM/oo/Yriy] Printed Name ofSeller Sian Date fMM/DO/YYYYI Ee BUYER(S)/GRANTEE(S)sr1P.P.LIGATION.FORPROPERT,Y TAX:DEDUCT10NSz[DENTIF,Y-ALI.-ITEMS THAT"AP,PLY ._ Sheila Almon Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu,j. 1 305 South Main Street ,6t/ -'^ Address(Number and Street) Address(Number and Sweet) 11 Fort Branch,IN 47648 ���ddd ///��� �i . THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO 'DIRT.) YES � ❑ CONDITION Will this property be the buyer's primary I Y❑ ❑NO CONDITION 3.Homestead IHHSON G'�IfMT ^0LIl7•QR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ` ❑ IN S.Wind Power Device Address(Number and Sweet) ❑ E 6.Hydroelectric Power Device ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 12 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 ❑ ❑ 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) �jf/1 City,State ZIP Code County rt-/i-d40/ao?- - a Pnmary property owner contact name E-mail