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HomeMy WebLinkAboutHomestead_Preske INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 'ff-WP/&81i2;-":71'.', -Witt; ,.11/4:7 --7.7,7-.1-.[:, - - 1 : .:Th--.Z17 _- 1,:'. :L,_--7-2737-,L: Kim Loesch Processor Preparer of the Sales Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville, IN 47715 (812)490-8485 .City,State,and ZIP Code Telephone Number E-mail FE:, 8113s1-01/7azAiRT.ORNt=;Z:."-.L-M7,1,-7: :-.1.-7-7:-.:FH.LITTI:t-s:;_17,7:7T:rc;:: •Ti=-Wi-Tr*:-.-,7-.:71T2--,,r;'• •t:-'4-: ."-'.7";:r17-7:; Linnie R Shelton Seller I-Name as appears o once temente, Seller 1-Nome as appears on conveyance document SO IP 69 -. Ei Cli dress(Number° 0 Street) Address(Number and Street) 1 ig"--L 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 jaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". X .1-i AnynA.....e...-• • "k Signature f Seller Signature of Seller 1 innie R Shelton 6 / / Printed Name of Seller . Sip 1414/DD/MY) Printed Name o f Seller Sian Date(A04/00/YYM LF:,B,UY ER(817 itTCANTEEM:F.ARRETEATIONIF_OFT, zRORERTN-TAXI5ED,U,CTIONSUOFKIEY(ALCIIT,D4341-ii - ;Ap,Fity::;:=•:,c7,_-_----:::: .----2 Teena M Preske suv ,-Name as appears on conveyance 4ocument Buyer 2-Name as appears on conveyance docume 3PO 9 Address umber and Strect,I _ 1 c777)..s- Address(Number and Street) JON L-4141.614 I( JA,ry • THE SALES ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES /0 CONDITION YES NO CONDITION iTO,i Ill 1.Will this property be the buyer's primary D 3.Homestead residence? Provide complete address of primary 0 g 4.Solar Energy Heating/Cooling System 50,7_,..gnillenceAincluding county: 0.n— nt,A-e----- 0 IN S.Wind Power Device Addr (Numb' and Erect ,11.-' 7.:,A) ce7lit3@ D 12I 6. Hydroelectric Power Device D E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code !? County 0 WA 8. Is this property a residential rental property? 0 D 2. Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide 0 71 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) 0Z-0 7,3-Ci -0100-000. 997_60 City,State ZIP Code County Priming,property owner contact name Email