HomeMy WebLinkAboutHomestead_Vaughn (2) INDIANA SALES DISCLOSURE FORM SDF ID: . Page 2
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Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closing.depteieffbosse.com
City,State,and ZIP Code Telephone Number E-mail
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James R Floers
Seller!-Nam as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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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 IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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S' attire of Seller ' Signature of Seller
James R Elders le-a7-aolb
Printed Name of Seller Sion Date MAMMA rrY) Printed Name of Seller Sign Date(14M/DD/YITY)
tE.:BUYER(SY/GRANTEE(S):=APP,LIGATION7F,Ort-P.ROP.ERTY TAX'DEDUGTIONSIDENTIRY ALL ITEMS.T.HATAP,P1V---1.-7-'75-',''''.
Rick A.Vaughn Tammi L.Vaughn
Buyer!-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
it.
12344 S Brook Dr 12344 S Brook Dr
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. V&
YES NO CONDITION YES NO CONDITION
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0 1.Will this property be the buyer's primary
12---.- 0 3.Homestead 4.1.1%ec
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0/),,
residence? Provide complete address of primary 0 p 4.Solar Energy Heating/Cooling System 04,
residence,including county:
0 151 S.Wind Power Device
Address(Number and Street) 0 ig 6.Hydroelectric Power Device
S te ZIP Code County
City y;
0 12 7.Geothermal Energy Heating/Cooling Device
a residential rental property?
0 2.Does the buyer have a homestead in Indiana to be Is this property
vacated for this residence? If yes,provide 0 ig 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.
1,23 119 L5- .d Rel0A,4- )13 fe- Not available in all counties.)
_ ___ _
Address(Number and Street)
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City,State ZIP Code County
Primary property owner contact name E-mail