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HomeMy WebLinkAboutHomestead_Fryman INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2 rzat.REPARERki_ v') „,. „fi .r_- - �_._e.r i'” _:=477 _:=-.=esF� �`= ' '1'r '- - . n .-s '''F atrZ;Tc�ttLS=•-.. .- SONJA WILLIAMS BANKING CENTER MANAGER/LOAN OFFICER Preparer of the Soles Disclosure Form Title 3403 N GREEN RIVER RD ELBERFELD STATE BANK Address(Number and Street) Company EVANSVILLE, IN 47715 812-437-2262 SWILLIAMS(6ESBANC.COM City,State,and ZIP Code Telephone Number E-mail -E::SELLER(S /GRANTOR(S)' -',2 ' •• - -..-1- .', ,l_ . .; t -- .v fi u u- - • • 'I s .• u u- . ,. - Living Trust dated September 11 2000 as amended jSeller l-Name appearso con veyan a document Seller 2-Name as appears on conveyance document -3361 F w 4f//b. Address(Number an Stree) Address(Number and Street) �dansu//�e, 1/J47rii 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". n i A ' _Ain . - _.Ls'if// _ i Sianature%Seller / Signature of Seller i i' �M Metcalf Trustee 06(28/2016 iI Printed Name of Seller Sian Date(HH/Da/YYFY) Printed Name of Seller Sian Date(HH/OO/MY) .F;:BUY t - I.eL!TEE Si;APPLICATION[FORPROPERTY_TAX.DED . _ .- : • . -71 ACC ITEMS THAT.AP.PLY>_1_-" � _ _, Ronald Dustin F man Meehan Marie F man Buyer I-Name as appears o • veyance document Buyer 2-Name as appears on convey, ce document •:r;-: — ev.Pass •Address(Number and Street) Address(Number and Street) \�. Haubstadt, IN THE S. .t: ISCLOSURE FORM MAY BE USED TO APPLY FO• ' AIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 0,-, YES NO CONDITION I YES NO CONDITION O/�tir).a © ❑ 1.Will this property be the buyer's primary ❑ 0 3.Homestead 40 0/T residence? Provide complete address of• imary ❑ © 4.Solar Energy Heating/Cooling System (4 -sidence,including coun ty: ❑ 4060 E Valley Pass 5.Wind Power Device Address(Number and Street) ❑ g 6.Hydroelectric Power Device Haubstadt,IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 6•Is this property a residential rental property? vacated for this residence? If yes, provide ❑ g 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. 5033 E 1200 S Not available in all counties.) Address(Number and Street) Haubstadt, IN 47639 Gibson tZ '43 _//-aoo-Odo?. /90 -Oa City,State ZIP Code County Primary property owner contact name E-mail