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HomeMy WebLinkAboutHomestead_Kolb (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID. PREPARER' - I 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-mail iE.SELLER{S)/GRANTOR(S) , Robert Alford Joyce Alford Seller l-Name as appears on conveyance document Seller 2-Name as appea o/n conveyance document /7 1Sha(Crt Lunt /Y/cY Sticcro (L hit- . Address(Number and Street) Address(Number and Street) Alee. 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 1 -1.1-5.5,"Real Property Sales Disclosure Act". y plc Sign•.re ofSeller / /, f I t Sfgna eo/ eller 1 I Robert Afford U /114 I)t 9 Joyce (ford 6 g I I co Printed Name of Seller Sign lbDate(dddkkk/DD/YYYY) Printed Name of Seller Sign ate(Mddd/DD/YYYYI 'F:BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX'DEDUCTIONS*IDENTIFY-ALL ITEMS THAT APPLY . 'I irande Kolb Megan Kolb as appears on conveyance do ment Buyer 2-Name as appears an conveyance document -2_0-? C 4rA04E_.� . DO--) -e- AeAC(4 )5,-,. Address(Number and Street) A dres(Number and Street) eA,o ►� (ri 4��6 Cyzd�4 (4 Ln THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APP MR 2 0 2016 YES NO CONDITION YES - • ''' • s 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary a V► •• oar nergy I-PAR£( t¢Itdi t •, - AI9DITOR residence,including county: ❑ 5.Wind Power Device 207 E Apache 6.Hydroelectric Power Device Address(Number and nd Street) ❑ p y Patoka, IN 47666 Gibson ❑ 0 7,Geothermal Energy Heating/Cooling Device City,State ZIP e County ❑ L� ❑ 0 8. Is this property a residential rental property? 2•Does the buyer have a homestead in Indiana to be 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. N, . Address(Number and Street) A _O4/_ AS- goo- 000• 6 ,S--0 A.0 City,State ZIP Code County •--•- •.•• .. •.,er contact name `mall