HomeMy WebLinkAboutHomestead_Brown INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
219 N.Hart St.,P.O. Box 13 Partenheimer,Kinkle 8 Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 rrickerhpk-law.com
City,State,and ZIP Code Telephone Number E-mail
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Nemecin V Boquiren&Salome C Boguiren Revocable I iving Trust Nemesio V Boauiren&Salome C Bonuiren Revocable I iving Trust
Seller!-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
901 E Walnut Street 901 F Walnut Street
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required by law,and is prepared in accordance with IC -1.1-5.5,"Real Pro erty Sales Disclosure Act".
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S g ture of Seller Signature of Seller
Nemesio V Roquiren as Trustee 7 24 2017 Salome C.Boquire as Trustee 7 24 2017
Printed Name ofSeller Sian Date(MM/D0/Y171) Printed Name of Seller Sian Date(MM/DD/ITY)')
_E:.BUY Elf(SI/G RANT E EISMIFORE I GATtIONT!ORT,PrioREinftecrODED_UETI ON srl:AbINT I EY,AE EDT M Si-NAVA P ll LYe• ,
Mark A.Brown • Daisy T. Brown
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Buyer I-Name as appears on conveyance document Buyer?-Name as appears on conveyance doc it
501 S.4th Street 501 S.4th Street
Address(Number and Street) Address(Number and Street)
Vincennes, IN 47591
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO 1141)?1Q*Cip "AUDITOR
YES NO CONDITION I YES NO CONDITION
IZI 0 1.Will this property be the buyer's primary IZI D 3.Homestead
residence? Provide complete address of primary 0 g 4.Solar Energy Heating/Cooling System
residence,including county:
0 ig 5.Wind Power Device
901 E Walnut Street
Address(Number and Street) D El 6. Hydroelectric Power Device
Fort Branch, IN 47648 Gibson 0 izi 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
D 8. Is this property a residential rental property?
0 0 2.Does the buyer have a homestead in Indiana to be 0
vacated for this residence? If yes,provide 0 Z 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.)
501 S.4th Street
Address(Number and Street) alry- ! 9 !8 3oit-000 . on-ocRo
Vincennes,IN 47591 Knox Math A.Brown ZS Daisy T.Brown
City,State ZIPCode County
Primary property owner contact name E-mail