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HomeMy WebLinkAboutHomestead_Vaughn (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ElTRREPARER d aam at*r^ r -,.c ,* Angela Moers President Preparer of the Sales Disclosure Form Title 605 SE Martin Luther King,Jr. Blvd. Southwestern Indiana Land Title, Inc. Address(Number and Street) Company Evansville, IN 47713 812-425-0055 angieaswinland.com City,State,and ZIP Code Telephone Number E-mail iETSELLERIS)`%G'RAN�TOR(S) •. ;N'7,,,,,,re '.'°" f:,.'1:-. ° 't,°'t` tiv--*-- i n.2., wttyyr::S•t*: z Tammi L Vaughn Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1500 Jefferson Drive Ant 202 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 a, • -limplete - -rQ aired b, law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". d ♦ /(Lw� Signature of Set r / Signature of Seller Tammi L Vaughn /7-1-a10/7 Printed Name of Seller Sign Date(MM/DD/YYI'Y) Printed Name of Seller l.(q tate(MM/DD/YIYY) 08.UY;ER(S)%GRANTEE(S),3 WPI PLTEA—MNIP,D-111PR'OP,EIMITCAXtDERU@TIQNSNIDEN911W 1 TENIS.THA I.par 21' I = t...74.?I Rick A.Vaughn Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document / 0k ) \/ 12373 S 200 E Y ( 9 Address(Number and Street) Address(Number and Street) G ,/} <U/J THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. oi? YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 12373 S 200E ❑ n 5-Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ 0 7,Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ❑ 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) s/ 4 City,State ZIP Code County Primary property owner contact name E-mail