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HomeMy WebLinkAboutHomestead_Hedge (5) / 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 theteam(@firstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail E:SELLERS)/GRANTOR(S� - - Anthony Wade Robinson a/k/a Wade Robinson Seller I-Name as op rs on conveyance document Seller 2-Name as appears on conveyance document Ad ress( umber and et) Address(Number and Street) CU- ('v. Q Q \Q, (0 kt23 Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief,is true,correct and com fete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". a � Signature of Seller I Signature of Seller L/ r`�jlLYvltl —r I Anthony Wade Robinson � l !r Printed Name of Seller Stan ate(AM/DD/YYYY) Printed Name of Seller Sian Date(MM/rD/YI YI F. BUYER(S1%GRANTEE(Sy-,APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTTFY ALLITEMS THATAPPLY _: : Logan Hedge ,erl;flame as appears on nveroncedocument Boyer2 Name as appears on conveyance toe me, d • ' r dd (Number and Street) Address(Number and Street) "�J((-7 nQ ,f-(`t` . c ( THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TILE l "t 71r/ YES No CONDITION IN NO CONDITION AUD/TO/r 6] ❑ 1.Will this property be the buyer's primary \N ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System renence, icludipgcoun y: j y t \ � �ly� ❑ ig 5.Wind Power Device Add Number and Street) C ! l ��`�0 ❑ IA 6. Hydroelectric Power Device c(-1 1 �1 `� c\Q Cli\�tN❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ I9 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes, provide ❑ IA 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) .276-/Q?-o -K,?o3- coo./a? oo7 City,State ZIP Code County Primary•property owner contact name Email