HomeMy WebLinkAboutHomestead_Brothers INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2
V.P,REFAREI-1+- r.-- ri r 4-7- ---
R. Jeff Dodson Closing Agent
Preparer of the Sales Disclosure Form Tide
1911 Lincoln Ave Clear Title Company
Address(Number and Street) Company
Evansville, IN 47714 812-423-8854
City,State,and ZIP Code Telephone Number E-mail
I-ELLER(S')/GRANTOR(S)1 fa: y-- .-- 7 :=<1—c r.y , . : . , :— - • - - fir-
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Cindy L Whitehead
Sel er I-Name as appears onncconv�nce Du Li nO�� Seller2-Name as appears on conveyance document
Addris(Nuumml[ber and Street)Street) D•_1�� K Address(Number and Street)
l aiTh kt„ ? k) 1747(e'cIC
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn s leteas required by law,and is rep`ared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of5ell � . of Seller
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. Printed Name of Seller Sian Date(MM/DD/YYYI) Printed Name of Seller Sign Date(MM/DD/YYn)
LFi:BU:YER(S)'%GRANIFEE(SI PA PL'ICATION?FOWPROPTEIVI TAAD E DH6TE I 0 N-ST.il DENTIF,PkaclITEMSITHAVARRLYI'W'r':- 'C7 A-`-'
Adam Brothers
Buyer -Name as appears on conveyance document Buyer2-Nvmeas appears on conveyance n l L i F,D
527 E Water St -
- , , Address(Number and Street) Address(Number and Street)
. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSEplErs ettiLUDUNTYAUDITOR
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary 151 ❑ 3.Homestead
residence? Provide complete address of primary ❑ Ig 4.Solar Energy Heating/Cooling System
residence,including county: ❑
527E Water St 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton,IN 47620 Gibson
City,State ZIP Cade County 7•Geothermal Energy Heating/Cooling Device
❑ Q 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 ❑ IN 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) a-1 R C)y- O'_40!_Db02,/J�11) 1_O0 t8
City.State ZIP Code County
Primary property owner contact name E-mail