HomeMy WebLinkAboutHomestead_Wynn INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
;DI.P,REPPARER f _.z.�• -— -rif-.-; Y:1° ....—i �'=�- }:-L.�'�.___.' _-
CHRISTINA LATHAM TITLE CLERK
- Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINA@ REGIONAL-LT.COM
City,State,and ZIPCode Telephone Number E-mail
f S ELGE R _R _N TOR(S)r� r ._ j rs —= r •? r 7: i _ , —_
-Home Smith Homes LLC
Sel r 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
\_Address(Number and Street) Address(Number and Street)
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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 com ete as r quo by law, d is epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature Seller Signature of Seller
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Dwight"Matt"Smith Member /i*7
Printed Name of Seller Sign"Date(MM/aD/YYYI) Printed Name of Seller Sian Date IHMIDD/YYYY)
:FS,BUYER(SVMI TEE(SIZAPP.LIGATIONTF,OR+PROPERTY:TA +X+DEEUCT JO NS IDENTIF,VA p1fEMSITHATiAII -:y- _, _
Edward J.Wynn
Dover I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
s'a88 BtrUaatiet /,�
II.,,ED
Address(Number and Street)) Address(Number and Street)
X L o'll t- .7N '17/0/ .
THE SAL DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TH O THAy
YES NO CONDITION I YES 0 CONDITION Li p ITV IDITOR
❑ 1.Will this property be the buyer's primary 3.Homestead N vJ 1 FL
residence? Provide complete address of primary ❑ Fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑
627 S Stormont St 5.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
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ IN 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)
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City,State ZIP Code County
Primary propertyowner contact name E-mail