HomeMy WebLinkAboutHomestead_Archer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
FDfP,REPARERl . r T -----;, ?r•- —�:t: 77-` r ?e -.—_,
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Whittnev Hill Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 whittnev.hilk regionaltitlellc.com
City,State and ZIP Code Telephone Number E-mall
EErSELTCER(S)'/.GRANTAR[S)A -----7----:',:77-7:-.:7--- -` .: `-7 r--, r T.--- ._-„5,., 7
Jennifer D I ahhart
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10467 F Glendale St
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comple s required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Sign of Se er Signature of Seller
Jennifer D Labhart g/� 7I D/Y
Printed Name ofSeller Sloe( /DD/rrrv) Printed Name of Seller Sian Date tMH/DD/YTYY)
cEtBUYESISW.GRANTEE(S)EAPP,I.ICATION!FORTROPERTXTODEDUGTIONS,;IDENTIEY(AEL,iTEM: _ • t :PAL
Alexander Archer ■ N p r —
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
631 Washington Ave SEP 12 2016
Address(Number and Street) Address(Number and Street)
Evansville, IN 47713 777
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
s ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑ TA 5.Wind Power Device
10467 E Glendale St
Address(Number and Street) ❑ TA 6.Hydroelectric Power Device
Oakland City. IN 47660 Gibson ❑ TA 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ [v/ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ TA 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)
aln-cob - ll - apt-in on.,331 aa,3
City,State ZIP Code County
Primary property owner contact name E-mail