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HomeMy WebLinkAboutHomestead_Bailey (2) • INDIANA SALES DISCLOSURE FORM SDF ID: I 0 I ` 5 (0 15 Page 2 D.PREPARER - Allie Lampinq Processor Prepares of the Sales Disclosure Form Title 4962 Lincoln Avenue First Advantage Title Address(Number and Street) Company Evansville, IN 47715 (812)490-8485 City,State,and ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - -_ Miles B Zeigler Gala.1 7eigler Seller I-Name as appears on cony nee docu ment Seller2-Name as appears on conveyance document Adds (Number and Street) 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 complete as required by law,and is prepared in accordance with//IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signutur of Seller Ale k Uwe / Signature of fl // Miles RJeinler k.S )3 ZFI6 cc I I SI D ��1 Gala J Zeigler A/4 �f'I a (en , Printed Name of Seller Siq Date( M/DufYYYI) Printed Name of Seller �L..'''111 Si n_D_te_ M/DD/YYYY) F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL tit'P ' d jt 4 y G. Bailey g 91J�1 on%�nge rent Buyer 2-Name as appears on conveyance document �� l01 > (� 5 QCT F nt5 Ad ress(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. Y NO CONDITION ES N TIOH ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System I OI (1. E .7a-+e,including- ou _a �I ((// ❑ S.Wind Power Device Qtddrea(Nuym�ber and Stree[ r,,�, I,, ❑ 0 6.Hydroelectric Power Device 11'j I� �1�7C' @1 ksb� ❑ 0 7.Geothermal Energy Heating/Cooling Device Ciry•State--ZIP ode County ❑ 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 ❑ WI 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. • • • •• • • • r sties. Address(Number and Street) A � -/2_o5- WOO -003, 190 _ o x ] City,State ZIPCode County ,• ,ro,erty owner contact name