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HomeMy WebLinkAboutHomestead_Martin (19) INDIANA SALES DISCLOSURE FORM SDI:ID: Page 2 D.PREPARER . Kim Loesch Processor Preparer of the Sales Disclosure Form Title 4962 Lincoln Avenue First Advantage Title Address(Number and Street) Company Evansville, IN 47715 (812)490-8485 City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S). _ Christooher S Goldman Seller I-Name as op rs on conveyance dory nt Seller 2-Name as appears on conveyance document &--19 ► Old (L,r�y 4 Address(Numb d 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 cord II- - as-re. ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of r �'�^Cal�� Signature of Seller Christopher S Goldman Printed Name of Seller Sian Date(MM/DD/M1 Printed Name of Seller Sian Date(MM/DD/YYYY) F. BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDE< I YIL' ITEFH or PLY- Aaron J Martin Erika D Martin �' Buyer I-Nam sap ears on convey ce document Buyer 2•Name os appears on conveyance document `- ILI ILO C l u& ( SEP 2 9 2016 Address(Ncrand Street y_ ��) 1 Address(Number and Street) . TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES , NO CONDITION ES NO CONDITION I��T(f, ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead J\ residence? Provide complete address of primary © 4.Solar Energy Heating/Cooling System residence,including county: Scb t I L MaCCtCICA Coo Ir:-1/2- ❑ Fl S.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device l 'cote -4-0-CI f 'M'� LI--)U 5 ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cade County A ❑ 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 ❑ 2 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including co n (� below. Please see instructions for more information. 3y I l-I (L(� (,L y "Lq k-e- o tl' Not available in all counties.) Ad - s(Number an Street) kN s K-VItli 1tJ it1 tic\— ac_ 2,3- co,aoo-boa 41s ,Oav City,State ZIP& le County Primary property owner contact name E-mail