HomeMy WebLinkAboutHomestead_Myers INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC _ _ _.
Address(Number and Street) Company
Evansville. IN 47715 812-759-5555
J
City,State,and ZIP Code Telephone Number E-mail
SEF.SEL'EER(S)(GRANTOR(Sji-- i _- . : —` i= 17 . -_ --7,. :. :t' --r
Gavin N Tenbarge Flizabeth A Tenbarge
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5701 S 500 W 5701 S 500 W
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and omplete'as'rreeuuir d by law,and is prepared in accordance with IC 6-1`.^1-`5.`5,"Real Property Sales Disclosure Act".
'Signature a)Seller (Sighatiie6f51!_c ( `
SavinNTenharge (a-o1- i) Fli7ahethATenbarge l0-d(-(b
Print • _ - Sian Date(M.N/DD/YYYY) Printed Name of Seller Sion Date(MM/DO/YYYY)
,• BUlER 5 5 GRAN, E 5`cuAERI:IGATION,FOR PROPERTF TAX<1)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT A
YES NO CONDITION I NO CONDITION it'TY 4,
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead i/0/7.
residence? Provide complete address of prima - -'
P P �. I✓� 4 c UHeating/Cooling System
residence,including county: ❑ ig
12464 S 200E 5.Wind Power Device
Address(Number and street) ❑ SI 6.Hydroelectric Power Device
Haubstadt. IN 47639 Vanderburgh n 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 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 I counties.)
Address(Number and Street) /7% -(13—/G - CI a -ado- 57P- go7C7
City,State ZIP Code County
Primary proper yowner contact name E-mail
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