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HomeMy WebLinkAboutHomestead_Baker (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 =D.PREPARER ZACHARY A. p- ATTORNEY Preparer of the Sales Disclosure Form Tide 5615 E.VIRGINIA ST. LAW OFFICES OF STEVEN K. DEIG, LLC Address(Number and Street) Company EVANSVILLE, IN 47715 812-477-5577 ZACHeDEIGLAW.COM City,State,and ZIP Code Telephone Number ' E-mail .£:SELLER(S)/GRANTOR($);. . _ .. -: _ __. WEBER INVFSTMENTS I LC Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1O17W150N - Address(Number and Street) Address(Number and Street) Und•r t :Ides of perjury, I hereby certify that this Sales Disclosure to the best of my knowledge and belief,is true,correct a icomp •te as r•quir d� and is prepared i accordance LIV 6-1.1-5.5, "Real Pro, -rty Sales Disclosure •ct". // / y )e �2c/ sit. ,. ' ,'_ ��4 /.�_ .� /, y • re of Se er azure ofSel r Ti9 /4 lv ePee Jai(Et Zan 44, e a Eg t 20/7 rinsed Name a Seller Sian Date(MN/DD/YYYYI Printed Name of Seller Sian Date AM/DD/YYYA - THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. T).q a �- YES NO CONDITION I YES NO CONDITION �0/7. (2] ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: ❑ 522 S GIBSON ST �.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device PRINCETON, IN, 47670 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZ 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) 076- /07-0 9- 0 3- 60/. 2gj- Dale City,State ZIP Code - County Primary property owner contact name Email