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HomeMy WebLinkAboutHomestead_Carlisle (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 •D.PREPARER _ , - ... Lynette Murray Processor Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteamOfirstadvantactetitle.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)%GRANTOR(S) : Y-, : - . , _ Randall P I emmons Gary M I emmons Aell 1-Name on conveyance document ^ cm23 SrJler2 Name os appeoronveyance doc• ment , i ` -a I a ■Ls ► . ess(Number and Street) dress(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 a ` complete as re 1 ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Rea roperty Sales Disclosure Act". Lc.�n n+fJ il Signature of Seller Signature of SQr / Randall P I emmons 1H Gary M Lemmons I- ) i — c� 1 Y Printed Name of5eller Sian D (MAI/D /YYYI) Printed Nome o(Seller Sian Date(MFt D/YYY1) F. BUYER(S)fGRANTE-S]±APPLicAT10N'EOR-PROPERTY:TAX DEDUCTID S- IDENTIFY ALL,ITEM8=THAT.APPL1 . , _ - April D Carlisle Donald J Carlisle Bive Name as appeal on ro eyance document Buyer 2-Name as appears o m t L I c�-c 1� i •1 b y 5 t, CN,i 11, Lok.,_ , T ss(Number and Street) n Address(Number and Street ' aNd l THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFT . YES NO CONDITION YES NO CONDI �SON COUNTY AUDITOR Eg ❑ 1.Will this property be the buyer's primary E- ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System I resi•-n. ncluding county: �, ` ( • • • , $ ❑ ig S.Wind Power Device Vum ...a •Street) , 4 ❑ [ 6. Hydroelectric Power Device ' ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code 41 County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 12 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 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) " .-13-a3-lbI - ncem g2.a- c,o(o City,State ZIP Code County Primary property owner contact name E-mail