HomeMy WebLinkAboutHomestead_Stransky (3) INDIANA SALES DISCLOSURE FORM SDI;ID: Page 2
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D'P..REPARER . 'i_1s.:.? - - i . -. . ..... _ . . <t ti. s.:47.4-'Sn .. EJ r:.1....�1::J__. tea..
Kim Loesch Processor
Preporer of the Soles 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:SELLERS)/GRANTOR(S)r - - - '' , . _, , _ __ --,: -' - `
Marvin E Cooley
Seller I-Name as appe r
an Conveyance docum • Seller 2-Name as appears on conveyance document
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
7delete a re tiir and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Sytler Signature of Seller
Marvin E Cooley lash j'ì-
-
Printed Name of Seller Sian Date AIM DD/YYYY) Printed Name 'Seller Sian Date(MSl/0a/Y1'19
`E.BUYERJS)/GRANTEE(S], APPLICATION EARP,ROPERTY 3AXTEDUCTIONS=1DENTIEYAL E IS HA• A P I _ :.:...--7;:f2 , -_,
Megan Stransky ! `ie
-Byer 1-Name as appears on'conveyance document Buyer 2-Nance as appears on conveyance document
oI-- Jet)(VCCv. , riY0 - AUG 29 2017
r ess[Number and Street) I Address(Number and Street)
inn, 0 A _-cw
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY ALL OF THOSE TIIAT APPLY.
YES NO CONDITION YES NO CONDITION
Y❑ ❑ 1.Will this property be the buyer's primal), lyk ❑ 3.Homestead
residence? Provide complete address of primary ❑ ig 4.Solar Energy Heating/Cooling System
residence,inclu lim co ntyt ❑
>C--) I ,.Sc S `U\ (J 5.Wind Power Device
asset Number and Street) 0 ❑ 0 6. Hydroelectric Power Device
} Qom._ En
❑ 0 7.Geothermal Energy Heating/Cooling Device
les:�
ty.State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 B. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ El 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)
_aQ b — la -D8-2 03- 60a c v -I'COX
City State ZIPCode County
Primary property owner contact none E-mail