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HomeMy WebLinkAboutHomestead_Johnson (20) , INDIANA SALES DISCLOSURE FORM SDF ID: FT T /ED Page 2 D.PREPARER Allis Alexander Processor SEP 1 2016 Prepare,.of the Sales Disclosure Fon,, Tide 4962 Lincoln Avenue First Advanta e Title Address(Number and Street) Company / Evansville. IN 47715 (8121490-8485 GIPSON COUNTY AUDITOR, City,State,and ZIP Code Telephone Number Y hb!r E.SELLER(S3/GRANTOR(5) • _Ronald_Clean Harrington JennifeLHase_Hamaglon SelleeNj-Name as appeon an canvsnrre document Sr Hy r$�'b'nme nr appears on mveynnce document C. Add..rtes(Number and SP-en) Address(Number end c;;«s) Prrn ce�f nn 1 17 .7 (474,-7 ICJJ Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct / and coin teas required by law,and is prep red in accordance 5'- 6-1.1- !S," al r petty Sales Disclosure Act". (y ` U ci,Tn hue o(SNler Sq �turrai 5e er 4 f (/� Ronald Dean Harrinnton ©S/g/La/�+ Je ifPLRo eJJar ngton � ( I Q J I `Y Prim:ed Mane ci Seller 'A Sign Dare lMA'/DD,Pm1 Printed Name a/Seller 51a11 Dare:MN/DDWY1 F.BUYER(S)/GRANTEE(S)-APPLICATIOk FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Stephen D.Johnson _ =as ai •rs on conveyance document Buyer?-Name as appears on wove eh inn : Ac'rrn(Nmnber- -_la� i•4 `\ \(1 /,—)�"1,-� Address(Number S:rreQ THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL tlFITB{tUU sE OUNTY AUDITOR YES NO CONDITION I YES NO CONDITION bb CC JJ Er- ❑ I.Will this property be the buyer's primary IP ❑ 3. Homestead residence? Provide complete address of primary ❑ ❑i 4.Solar Energy Heating/Cooling System r i;ence,includincount 6 y' ❑ ❑✓ 5.Wind Power Device . m��--s kyV,,mbern. 6.Hydroelectric Power Device —,-1-`1C, �F—L - `lA�I LICSI\—!It -qj ❑ 7.Geothermal Energy Heating/Cooling Device City;Since Lie'Code \ Courtly ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ F4 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZ 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 far more information. Not available in all counties.) .4dom LVm:hr:owlSeree:) 13.G, - tA-oG - ao3•oo ( • 3ot - oat ;:wa:e r.de aunt. .a-` - t a -0 5oba ._a Lt a- - bell Rinm0'property owner contact none E-mail