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HomeMy WebLinkAboutHomestead_Cross INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton,IN 47620 -. _ (812)386-1687 City,State,and ZIP Code Telephone Number E-mail EiSELER(S)/GRANTOR(S) —? =_ _ The Fstate of Paris B Pickett Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document 1815 Wolverine Drive Address(Number and Street) Address(Number and Street) Evansville IN 47715 _ Under p. es of pe jury I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co eq.ir• . by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ..At aa `gnature of Seller Signature of Seller I awrenre Rnuee Pickett Personal Ren ///,'// Printed Name of Seller Sian Date(MM/DD/YYYI) Printed Name of Seller Sian Date(MM/OD/VYYY) F..6UyER(sV GRANTEE(S)=APPLIGATIONTFOR@ ROPERTY,TAkDEDUGTIONSI,IDENTIFS•ACEITEMStTHACAP.P,LYti? _ _:12*___ Kyle B.Cross Buyer I Name as appears on conveyance document - Buyer 2-Name as appears on conveyance dacumen 315 South Hudson Drive t . Address(Number and Street) Address(Number and Street) l p� ii i"� Patoka, IN 47666 /* THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOS 'SY. Z • C U 97))j�o YES NO CONDITION YES NO CONDITION UA/ . e ❑ ❑ 1.Will this property be the buyer's primary ❑ ❑ 3. Homestead H(ffjlTOh. residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device 618 South Old Patoka Road Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Patoka, IN 47666 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ❑ El 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 counties.) Address(Number and Street) / 016 - 0 02.57 6 -0 6. 5j.7-Oa? City,State ZIP Code County Primary property owner contact name E-mail