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HomeMy WebLinkAboutHomestead_McTaggart INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;D1BREPARERt v. LS= ._ t _.. _ .- -_ z '. ; _ r �� R. Jeff Dodson Closin. Asent at Preparer of the Sales Disclosure Form Tide r— , 1911 Lincoln Ave Clear Title Company Srn 2r MI- Address(Number and Street) Company Evansville,IN 47714 812-423-8854 City,State,and ZIP Code Telephone Number ./l/ Email GIBSONN r•nnr'pt r I _ _... f LIDT SELR(5/GRAVORS) ' "= -' - 4 :7-1-; • iut< — y- 1 Kimberly K Schreiber Co-Personal Rep of the Kerns Estate Karen K Clevenger Co-Personal Rep of the Kerns Estate Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3j 3n RAli lo,J t . 651a to Loo 5 Address(Number and Street) Address(Number and Streetlr c.vi9N51/1)/i . ZIJ- 477/ auuN _hUtc. ',N. 41( S Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and omplete as reqyuired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act", and -k!Glini, a>iscJ Cv1e.ti y Signature of Seller O SI na re of Seller jiml:PrIV I/. Se k el.her V-/'1—L.., r7 aeo.f K, CLEvEv—O 9-/y- z,,, Printed Name ofSeter Sian Date WMM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY1 ff:°BUYER(S)%GRANTEt-M ,APPLI6ATIOMEOR4BROPERrti DEDUCTIONS IDENTIFY'ALI:IITEMS:THA AIVEY: e: '•'r;;c Timothy J.McTa•gart Cara R. McTaggart Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 207 W Clark St P. 0 SOX ?) 12 207 W Clark St P• 0 Ro% 312 Address(Number and Street) ` _ 1 Address(Number and Street) " 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 1 ❑ 1.Will this property be the buyer's primary [ ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 707 W Clark St ❑ n 5.Wind Power Device Address(Number and Street) ❑ j 6. Hydroelectric Power Device Owensville,IN 47665 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q' 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) ,g,_6 '- Li - 1..1 - aol- Ono.`f C5--oaa--. City,State ZIP Code County Primary property owner contact name E-mail