HomeMy WebLinkAboutHomestead_Harrolle INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Becky King Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 812-759-5555 becky.kinciereoionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
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Renea Marie Paridaen
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2081 W 1000 S
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comple as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Renea Marie Paridaen 07/26/2016
Printed Name of Seller Sian Date(I414/00/M-Y) Printed Name of Seller Sian Date(MM/DDIYYrY)
TiT3U,YER(STAGRANTEE(S) 15,13,EIGAIEION:FORIP,ROPERTYCEAXiDEDUETIONSVIDENIflaALIDTEMSITHAVAt ___ - .._..,•--.
Ethan W Harrolle
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
507 W North Ave.
Address(Number and Street) Address(Number and Street) 1
Olney,IL 62450 . "
0A, •
YES NO CONDITION YES NO CONDITION V 0 -1-1
00,°ION
N 0 1.Will this property be the buyers primary N 0 3. Homestead_ . _ . 07-)...2.• _ _
residence? Provide complete address of primary 0 N 4.Solar Energy Heating/Cooling Syrktp.
residence,including county: 0,9
Fi N S.Wind Power Device
104 E Strain St
Address(Number and Street) El N 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson El 12 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
El
0 g 2.Does the buyer have a homestead in Indiana to be N a Is this property a residential rental property?
vacated for this residence? If yes,provide El N 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)
City,State ZIP Code County
Primary property owner contact name E-mail