HomeMy WebLinkAboutHomestead_Lance (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 e.Ii'PREPARER- ''', -, 7 ' _ _ ` - . u._ - ` ''-_•
Kim Loesch Processor
Preparer of the Sales 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
,F SECLER(S)%GRAN.f.dik ,_ - . _ A1 -„Ft ., . .. - . _ _-. _ '- s
Brandon R Osborne Amy L Osborne
Seller I-Name asap(rs gconve n} nce.docurt t ���777 Seller 2-"Sup pears an r,ryyveyance document
I W I I vir,PJ - ea (''�/`
Address(Number and Str t) Address(Number and Street)
Under penalties of perju ,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is tale,correct
and co i or. as req tray I. ' nd is prepared in accordance with IC 6- 1-5.5 "teal Property ales Disclosure Act".
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5.71. real-Selle rf 5ignntu rofse, T
Brandon R Osborne ID If D /i Amy L Osborne wl Q A
Printed Name a Seller Sian Date .e,e/ouptn) Printed Name al Seller Sian Date 1MA)a0/rrrl
.F-BUYER S'GRANTEE S i APPL'1CATjON:FORTP,ROP.ERTYTAX?I)EDUGTIONS-'IDENTIFY At ltt(f i ! •rA , - '', .t-_ _ \-
Bethany Lance -1 i :111- it
Buyer I-None as appears on conveyance Civic! Q J Buyer 2-Name as appears on conveyance document
04 Address(Number nd Street) W v pIv Address(Number and Street) �T 1 g 2011
TIIE SALES DISCLOSURE FORM MAY RE.USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALI.OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary 151 4.Solar Energy Heating/Cooling System
O b 1 , `esidel ce,inflpding founts Gw
b '{1 >0 U A \ 1�4r L vl ❑ 5.Wind Power Device
Adde.:c(Number and Street).. .�� �,, - . ❑ Q 6. Hydroelectric Power Device
�O'J� �S...pl. N/ S ❑ [✓I 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
I I ❑ 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 ❑ IA 9.Would you like to receive tax statements for this
complete address of residence bein}vacated, property via e-mail?(Provide contact information
Cep inclu I county:
2 - / below. Please see instructions for more information.
p a� 1 I r)Cje— CC// Not available in all counties.)
City.Stole ZIP Code County (6- 1'1-x9 -c940 -004.430-031
Primary property owner contact name E-mail