HomeMy WebLinkAboutHomestead_Claridge INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE,IN 47715 812-468-8485
cio;State and ZIP Code Telephone Number E-mail
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Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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address(Number and Street) Address(Number and Street)
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law?and is prepared in a cord. - • with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller I , 4 Signature of Seller
Andrea M Eubanks Wide Andrea M Rodgers 14A0 —
Printed Name of Seller Sian Date(MM/Do/m11 ■ Printed Name of Seller Sian Date(MMAJD/YYM
aUYER(V/GRANTEE(S)V.APPEICATIONiFORIIROPERWTAX,DEDUCTIONSIt1DENTIFWALE,ITEMSIFHATi'AP,11 l'all:N.?..-Liitii-,-::''.:.;
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Aaron L.Claridge V ) - g.t.
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Buyer.1-Name,appea g on conveyance document Buyer 2-Name as appears on co' - once document .
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press(Number apd Street) i 1 765 7.0 Address(Number and Street) ,
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES _...,_NO CONDITION "4:1...
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1.Will this property be the buyer's primary lUt 0 3.Homestead 04,
residence? Provide complete address of primary III 12 4.Solar Energy Heating/Cooling System
residence,including county:
SI 1/41 kr Prtx+ 6— 0 is s.Wind Power Device
dress(Number and eet) ID IS 6-Hydroelectric Power Device
r t an _ in . ) M 4-71, -7D Cs-1 loSor 0 IS 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 131' 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 111 151 8.Is this property a residential rental property?
0 Fl 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)
09‘—/o2-0 2-/ad-oac 2 7. 3 90 7-Oa??
City,State ZIP Code County
Primary property owner contact name E-mail
PO S5 pDY-4 £773A