HomeMy WebLinkAboutHomestead_McKannan INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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 abbeyecolumbiatitlegrouticom
City,Stare,and ZIP Code Telephone Number E-mail
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PPMPIR S Koester .
Seller]-LI Name as appeaHrson conveyaoce document Seller 2-Name as appears on conveyance document
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Adqtrots(Number and Street). Address(Number and Street)
14 II 0S+4
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an plet s required by la ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Si nature of Seller Signature of Seller
Pamela S Kues2'.er 9- gib
Printed Name of Seller Sian Date(M.WDDIYYTTI Printed Name of Seller Si Ti/eITT1
:F.BUYERtS)/GRANTEE(S1.=_APPLICATION,FOROPERTYJAX DEDucTioNsEADENTIEvALLITEmstXtt . • ::
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Nicholas W McKannan Jordan L Robinson l
Buyer I•Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
205 West Walnut Street 205 West Walnut Street SEP 2-1 2016
Address(Number and St-eet) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
El 0 1.Will this property be the buyer's primary g g 3.Homestead
residence? Provide complete address of primary 0 g 4.Solar Energy Heating/Cooling System
residence,including county:
El VA 5.Wind Power Device
205 West Walnut Street
Address(Number and Street) g 0 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson g g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
D 12 8.Is this property a residential rental property?
g g 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 0 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)
(96- 18-13 - 904 -b00 vos I- (i)G
City,State ZIP Code County
Primary property owner contact name E-mail