HomeMy WebLinkAboutHomestead_Ricketts INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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D.PREPARER �� --
- _.• __ . _ _ �.�_ .,_ :.77,T. _mss
Abbey Moore Closer
Preparer of the Sales Disclosure Form Title
3101 N. Green River Road Suite 130 Columbia Title
Address(Number and Street)
Company
Evansville, IN 47715 812-471-8563 abbev(@columbiatitleoroup.corn
City.State,and ZIP Code
Telephone Number E-mail
E.SELLER(S)/GRANTOR(S), !`
..- _.. .. ..__. ,_.._ .:Zi C■ _ vim____. ._ . a - _•— __ r_.
Charles R Gipson Sarah E Gipson
Sellerl-Name as appears on conveyance document j�`r1 / Seller 2-Name as appears on conveyance document
Hoosier Village 9878 Cherryleaf Dr / ' ✓ 2C-( l Hoosier Village 9875 Cherryleaf Dr
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 cc lete as re it by law,and is prepared in accordance with I 1.1.5.5,"Re I roperty Sales Disclosure Act".
Signature of Seller qi /6 Signature oheller
❑ 2 6. Hydroelectric Power Device
City, LP
Code County 0 7.Geothermal Energy Heating/Cooling Device
® ❑ 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 ❑ IZ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
incl ina ountv:r below.Please see instructions for more information.
5.
7 SIP n E• Not available in all counties.)
Addr iivt ) t 1 i t (0�
IA (C�jA �,; 4/b./L. a�- 13-31 -30i - on1 .ca( -
Ciry,State ZIP Cdd County