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HomeMy WebLinkAboutHomestead_Valentine INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Stacy Brown Closing Coordinator Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd Ste 201 Regional Title Services,LLC Address(Number and Street) Company Evansville, IN 47715 812-759-5555 City,State,and ZIP Code Telephone Number E-mail•;:-E:SEL`LERIST/,GRAiJtTOR(S)) � .. „ ': -. . - - 1• Edgar L Kyle Karen Ann Kyle Seller I-Name as appears an conveyance document Seller -Name as appears on conveyance document 210S Rare St 2105 Rare St 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 and complete as required by law,a d is prepared in accordance with IC 6 1.1-5.5,"Real Property ales Disclosure Act Signature of er O Slgn' L ofSel/er 4~ EEEgar l Kyle / Karen Ann Kyle 071-7/7 Printed Name o(Seller Sian Date(MM/DD Printed Name of Seller Sian Date(MM/DD/YYYY) FT:BUYER(S GR.-INTEE(Sk iAPPliIGATIONW,,QR).PROPERTiYtTAXc DEDUCTIONSElbEWIMPY(ACL,ITEMSiTHAT$APPBYT j Laura A.Valentine Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 625 W. Pinknev Street Address(Number and Street) Address(Number and Street) THE SALE DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 3l 2n 4 U0 ITS NO CONDITION I YES NO CONDITION c •/(/ ❑ 1.Will this property be the buyer's primary �❑ 3. Homestead �`SC/v C'a residence? Provide complete address of primary ❑ ri 4.Solar Energy Heating/nCo�ilft residence,including county: n S.Wind Power Device iJvf'O 21 U N fMe,w\ Via- w R Address(Number and Street) ❑ 0 6. Hydroelectric Power Device fl■'. • -a •L- ! Se/ rD 4 7.Geothermal Energy Heating/Cooling Device City tate ZIP Code County I j ❑ 2. Does the buyer have a homestead in Indiana to be ❑ B. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 51 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information i cludi coup : below. Please see instructions for more information. (, rInnn(., Not available in all counties.) _ ress umberU Street) — o . A r >�- , z 1° -j 9 -3 i . 3o 1 000 as , 009 City,State ZIP Code • ■ 11 aunty C 0L') Primary property owner contact name E-mail