HomeMy WebLinkAboutHomestead_Raley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D�.PREP REA R
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Laura_Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eaale Crest Blvd Ste 201 Regional Title Services. LLC
Address(Number and Street) Company
Evansville. IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
.!Er SELTLER(S)'/.GRANTOR(Sji -_ y ^ :rG„�,. _._ :° .,�. v---. °-�. 1.=
SPM Development Inc
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
304 E SR 68
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639
Under pe-alties I perj - er• : ' •4'rtify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co • plete -- r• . . I I. v� d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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•Ana are of Seller Signature of Seller
Kenneth W Reinbrecht President Ia-"C1 (t,
Printed Name of Seller Sian Date pw/DO/YYYY) Printed Name of Seller Sian Date(M.M/DD/YYY1)'
FIBUYER(Sj/GRANTEE(S)]),:e,.4P.PIA GATION,EOR,PROPERTTI'AX DEDU.GTIONSelIDENTIF ATIITEMSTHATrAPP.L•Y;T _ ,__
KC. Daniels Raley _
Buyer l-Nome as appears on conveyance document Buyer 2-Name asappeo
Try , _
66pp IfI��� I \
122 N. Race St. r
Address(Number and Street) Address(Number and Strew JL./ it--J • Y
THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF T7 �
YES NO CONDITION I YES NO coNDk'ilk3SON COUNTY AUDITOR
S ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead
residence? Provide complete address of primary ❑ 112 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 5.Wind Power Device
71 Jill Dr
Address(Number and Street) ❑ SI 6.Hydroelectric Power Device
Princeton. IN 47670 Gibson n el 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ SI 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 n 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) _
City,State ZIP Code County 6 - i k — I DI - w0 117 7
Primary property owner contact name E-mail