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HomeMy WebLinkAboutHomestead_Pinkston INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER` - - _ Lynette Murray Processor Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteamefirstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail iE:SECDER(S)/GRANTOR(S] s r-1 - - 1w?"71 5-7 7r P_,T7".Wi t _ '''' -' rat, Charles R Lewis Kimberly A Lewis Seller?-Name os ap�ars on conv�vnce doantf S I Seller 2-Name us appgtrs on conveyance document Address(Number SStreeti �'V's\• r, 11/` '� 11 3 AddressSl(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 a plet s rggtljfgd by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". l�Lf >L - C re • ���r�fy Signature of Seller Sgnav2ure of Seller S U // Charles R I ewes CorA /6 S Kimberly A Lewis - \` t y-2 Printed Name of Seller Sian Date(Mb/DD/YY1'YI Printed Name of Seller Sian Date(104/DI IF7BUYER(S)/GRANTEE(S AAPPLICATIWEOR+PROPERT.YA;TAX•DEDUCTIONS '1DENTIFK,AELlITEMSgiiATMehY(CI.,.t_.__ &;:1;;.„1 Olivia Pinkston Brent Pinkston Buyer I-N on cony once meet Buyer 2-Name as appears on conveyance document Address(Num r nd Street) ^ Address(Number and tree[) Bl� /\{9t YES NO CONDITION I YES NO CONDITION ❑ 1.Will this property be the buyer's primary X ❑ 3.Homestead O � residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Looling system residence,including county: ❑ [] 5.Wind Power Device �/n/�,,. Address(Number and Street) ❑ 0 6.Hydroelectric�oTspr/NH�+rSfk� City,Sta¢ZIPCode County ❑ ❑ 7.Geothermal Energy Heating7Cad1i4UP4a(�f2 ❑ Z 2.Does the buyer have a homestead in Indiana to be [1] 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Z 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) / R /� e� Q / City,State ZlPCode County (O - [s - \ _ I barn o ciV•O I b �d� Primary property owner contact name E-mail