HomeMy WebLinkAboutHomestead_Farmer (3) INDIANA.SALES DISCLOSURE FORM SDF ID: Page 2
SIWREPARERrrUrp a 'r# :X15: . ' . aZ r.ra `e,°,,:,? r< y T , (l [a
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AyyCkkQ,( en,f(tct CLOSER
Preparer of the Sales Disclosure Form Tide
5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-468-8485
City.State,and ZIP Code Telephone Number E-mail
FE-SEL•LER(S)/GRANTOR(S]t ' rt` z.�"n"`'` . .•�at� aZ"-s"` =`7711 ag° 3� u" i° 4e`=+cam i-"s` .fix
Vaughn Dewayne Collins Diana Kay Collins
Seller I•Name as appears on conveyance documen t Seller me as appears on conveyance document•5ii-e Nor i 75rc-<�- e
ess(Number and Street • •,ber
andd=ireet)
lDy_e - i � _ 71bIn, I
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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 i Piet as required by law,an i repared in accordance with C( 6-1.1-5.5,"peal Pro a Sales Disclosure Act".
X lea —0ear k ��}U!q 1 a� IyK"ll
Signamr of Seller SignatureofSeller �I
Vaughn Dewayne Collins -7.51-17 Diana Kay Collins I -3 ) -\,
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DO/YYY1)
F.BUYERS)/GRANTEE(S) AP:P ATION;EOR;RROPERTtY.uTAkibEDUCTIONS'!IDENTIMAI ITEM L --`
Caleb D. Farmer Me an M. Farmer
Buyer!-Name asters on conveyance docume B • -•ame asap rs on conveyance document 1 15.•—k )P S (SD C) , cument
fiv l- AVG 7 2011
A ess(Number an Street) Address( .•ben
VrIAlt UN l Li-7b 70
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
p( ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ igi 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ ig 6. Hydroelectric Power Device
❑ 151 7. Geothermal Energy Heating/Cooling Device
City,State ZIP a County
IN
n 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 ❑ 0 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)
3 -1 a-o8- 361 -00 Ot a f-DQ?
City.State ZIP Code County
Primary property owner contact name E-mail