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HomeMy WebLinkAboutHomestead_Nixon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 (D..PREPARER) — - — Angela Moers President Preparer of the Soles Disclosure Form ?Irk 605 SE Martin Luther King Jr. Blvd. Southwestern Indiana Land Title Address(Number and Street) Company Evansville, IN 47713 _ 812-425-0055 City,State,and NP Code Telephone Number E-mail 1E-SELLER(S)/GRANTOR(S)1 - — — __ _L_Matthew Nixon _ Sellerl-Name as appears on ca9vv/yaa2ce document - Seller 2-Name as appears an conveyance document ll Address(Number and Street) . / Address(Number and Street) • 7° N. 617e3 T -5-7—. Pi- _ Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". • . `/ Sig.. re Signature of Seller L-Jdatlhew Nixon Printed Name of Seller Sian Date IMV/DD/arn Printed Name a(Seller Sian Date IMM/DD/YYYII F.BUYER(S)/GRANTEE(S)-APPLICATION=FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS_THAT APPLY( - Laura K Nixon Buyerl-Name as appears an conveyance document Buyer 2-Nome as appears on conveyance d e 1 10mbS __ _ Address Number and Street) Address(Number and Street) Haubstadt.IN 47639 Orr THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TetAtr(3PPLS.wtt{t/y� -- YES NO CONDITION YES NO CONDITION AJf'A/i .. TA ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead t ore residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ TA 5.Wind Power Device Address(Number and Street) ❑ TA 6.Hydroelectric Power Device ❑ I2I 7.Geothermal Energy Heating/Cooling Device Dry;State ZIP Code County IN❑ 4 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 ❑ TA 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. Already exists on home Not availab a in all counties.) Address(Number and Street) X 7g-.36 - ao -dia.di9-- Oac/ Cie.;State DP Code County Primary property avnercontact name E-mail