HomeMy WebLinkAboutHomestead_Lizcano (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page Z
CHRISTINA LENFERS CLOSING AGENT
•
Preparer of the Sales Disclosure Form Tide
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Street) Company
EVANSVILLE IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
ESELLER(S)%GRANTOR(S)- __.1 _ t
JAMES LYNN WADE MARK LANE WADE
Seller]-Na a as appears on conveyance document Seller 2-Name as ap on co e) need ument 6s__
/0506 midi]) �' '7 li 73 3 J
Address mber11and Street) 4-7<L/o A dr ess N r1 tree[) j / /7 / ; i a
/�/lit/�"�t9<JyIV_< �L) C/C/JJ� ' `r Y/ `7`
• t - enalties of perjury,I h eby certify that this Sales Disclosure,to the best of my knowledge nd belief,is true,correct
- d c• plete required I w,,and is prepared in accordance 4Sr 6-1.1-5.5,"Real Prope les Disclosure Act".
-" 4 Gib//
AMES LYNN WADE l0-3 t/�G MARK LANE WADE Co& /�i4
Printed Name of Seller Sian Date(LM/DD Printed Name of Seller .Sian Date(MM/DD/YYYY)
'F:BUYER(S)/.GRANTEE(SPPLICATIONF,OR,PROPERTY TAXDEDUTIONODENTIFY'ACLITEMSTHATAPPGYf, x_< -
• JESUS G.LIZCANO
:y-p07sAppears spnnve}ance ocumq-it Buyer 2-Name as appears on conveyance document
dress.(h'umber and Str—eet) IY_\—_ /fh4JC0/. Address(Number and Street) ,
/Y/n/�/ APPLY. ZO�U
YES - NO CONDITION YES NO CONDIT�
YES
❑ 1.Will this property be the buyer's primary �❑ 3.Homestea 4'`0 .
residence? Provide complete address of primary ❑ W4.Solar Energy Hea 1/ ng System
bbl' t yeside ce,inc udi g county: Co
(�-/ -�1ora r � ❑ [�5.WindPowerDevice 1p4?
.dress(Number and Street) ❑ [•/6.Hydroelectric Power Device
Pin(•-// L'110 1 61150 j ❑ [3 7.Geothermal Energy Heating/Cooling Device
Ciry,State Code County Imo••
❑ I(J-�/• 8.1s this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ 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) •
alo-u-/ e2 /OQoo3oyR 0a2'
City,State ZIP Code County
Primary property owner contact name E-mail
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