HomeMy WebLinkAboutHomestead_Taylor (12) INDIANA SALES DISCLOSURE FORM SDF ID: i Page 2
i PREPARER t L ,_ .. '-t ,s - ,.7x,-- 1 `'-i 4 y; 4.- ,-..T-4, x:-7c77-v^-E R--is•;--c•�,-n._77:77-.�ra ..a --.n
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Laura Rininger - Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mall
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(tHTSELLER(S)'/GRANT.OR(S) d : :, > f 7 n:7� .- -T V'r ::ra': 7";r'r4:- ;: c`7t;c?- •--•-_�
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Susan Hardiman
Seller I.Name as appears on conveyance document Seller 2-Name as appears on conveyance document
529 Blaine Ave
Addresi(Number and Street) Address(Number and Street)
Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and sompletenas required h law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
`SisBbtf3fSeIlr V (.d/�j I��I Signature of Seller
Susan Hardiman
Printed Name of Seller Sign ate(MM/DajrvYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
[FFBU,YER(S)'/,GRAN,TEE(S)MAP,P,E1 EATION(F.ORIPROP.ERTiYgTAXIDEDUGTIONSEIDENTIFYeAL IMEMS.LTHATsAP.P,CYr h _- • 10 :>':
Kyle Taylor Melissa Taylor I
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
7892 S Andee Ln 7892 S Andee Ln
Address(Number and Street) 'Address(Number and Street)
Fort Branch, IN 47648 Fort Branch IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSETHA AP V.. 1 Q$��
YES NO CONDITION YES NO CONDITION I
IA ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead MW R 2 99 -
residence? Provide complete address of primary ❑ NI 4.Solar Energy Heati :/CoolitgQiirn
residence,including county:
529 Blaine Ave ❑ 0 5.Wind Potigp§ge , •
Address(Number and Street) ❑ 12 6.Hydroelectric POl P•P-n t,/
Princeton,IN 47670 Gibson ❑ 0 7.Geothermal Energy Heati'n]/QOQJy❑ Device
City,State IP Code County r¢
2.Does the buyer have a homestead in Indiana to be ❑ TA 8.Is this property a residential rentalperty?IIE
vacated for this residence? If yes,provide ❑ 12 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)
2 4 -ia - /8• - 3o/ - 000 . 4a 9- vat
City,State ZIP Code County I
Primary property owner contact name E-mail