HomeMy WebLinkAboutHomestead_Hopkins (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2•D: PREP,ARER` ,LL - ,
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Lynette Murray Processor
Preparer of the Soles Disclosure Farm Title
4962 Lincoln Ave First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteam a�firstadvantagetitle.com
City,State,and ZIP Code Telephone Number
E-mail
E.SELLER(S)/GRANTOR(S)-. __
Cynthia G Vincent
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
1Snc Nor+ k document, Seller
panther and Street) Address(Number and Street)
_ . tn. �cv\ * 0 ��I\1 4�-. n
U t :r penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a•d complete as required b .w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Cynthia C Vincent 1 1t
Printed Name of Seller Sian Due(MM/MO/M71 Printed Name of Seller Sian Date(MM/Do/YYYY(
- -F.-BUYER(S)%GRANTEE(Sy APPLICATION FOR PROPERTYTAXDEDUCTIONS-IDENTIFY AL[ITEMS THAT APPLY --_ _ __ -
Brandon R Hopkins Chastidi A Hopkins
Buyer I.Name asap rs on cpnveyance document Btger2-Name pears on conveyance document
4)0K ne phi\ t * . Y. ` ✓/7
Num6eran eet) Address(Number and Street) '
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE IT A .Ptr, 4y , I
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary tat ❑ 3. Homestead JAN 3 0 2017
residence? Provide complete address of primary ❑ NI 4.Solar Energy Heatin /Cooling System
I ',/ r
residence,including county: t�
l3!1 ��� • U n �i 0\ k ❑ ig 5.Wind Power Devi .ill
s(Numb o str-et)„`�n l �� J l���,t1 ❑ IN 6. Hydroelecttt"o1RSON-OQklikkTTYAUDITOR
`t v1 U 1 ` �j n ..(`❑ ❑ 7. Geothermal Energy Heating/Cooling Device
Ct y,State ZIP Code County
❑ 0 2. Does the buyer have a homestead in Indiana to he ❑ 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) 310 - I /li-I Q 1 - I O' - OD. a Q(j
-Dalt°
City,State ZIP Code County
Primary