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HomeMy WebLinkAboutHomestead_Taylor (13) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Allie Alexander Processor Prepare:of the Soles Disclosure Form Tale 4962 Lincoln Avenue First Advantage Title Address(Number and Street) Company Evansville, IN 47715 1812)490-8485 City,Stott,and VP Code Tel Number E-mail !E?SEL.ER(Sl%GRANTOR(Sl � ;_-C='• ,,V a. _ ti `;S^�'_r. r5w 7L-i . e u ._ _.."__ -t _ _-yr727:77077;177.4.,n Michael,! Gwaltney Theresa.1 Gwaltney - Seller 1.Name as appears on conveyance document Seller 2-Name as appears on conveyance document (dot _•l•r Address(Number and • t) Address(Number and Street) ./ /` GreGr1 71 c 1 e9 -44 cite/ sib , Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and /Lcomplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (\ Signature tiler Q .I/nr 4 Signature of Seller Michael J Gwaltney L_ — ZO((o ThPrnca.1 (;yyaj,aey Printed Name of Seller \r Sian Date IMM/OO/IYY11 Printed Name of Seller Sian Date(MM/DU/YYYYj ;L.FjBUYER(S)'/,GRAN.TEE(ShAP,PI!(GATIONf,,OR•PROPERTMAX•DED.UCTIONS-?IDENTIFy1ALl:?IITEMS'IT ' •Y■ c1 Joshua R.Taylor y 1-Nam asap s on conveyance document Buyer 2-Name as appears on conveyance documen e fl . IC.a t\1 c\ ivy kk • 9Y'/ �, tress(Nina er and Street) Address(Number and Sheet) G's r �/ ri n(LO c N 1 l l��L /es• THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. *10, YES NO CONDITION I YES - NO CONDITION 04, ff f ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System cct resid nc eluding county: S.Wind Power Device ess(,,v�aYm r nd$Weer) ❑ Q 6.Hydroelectric Power Device rly,slotaaPCade cvL \,cxN �n v \ , clan G 4❑ ❑ 7.Geothermal Energy Heating/Cooling Device 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 ❑ 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. Abt available in all counties.) Address(Number and Street) 4- 4.2-/7- /0/—goo. 7/o 2-501--3 City,State ZIP Code County Primary property owner contact name E-mail