HomeMy WebLinkAboutHomestead_Brown (10) INDIANA SALES DISCLOSURE FORM
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SDF ID: Page 2
I-D::P R E PARE R l i f t ...,— 7 .__.d__.. Y - .."777:77.7772'mac - ,v. —71-
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a Rogers Closer
Kand
Preparer ce of the Sales Disclosure Farm
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3101 N. Green River Road Suite 130 Columbia Title
Address(Number and Street) Company
Evansville, IN 47715 812-471-8563 kandacec columbiatitlegroup.com
City,State.and ZIP Code Telephone Number E-mail
1E,SEUIER{S % ATOR{S)<' fl -. _ ' -' � —7-777 r
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Carolyn A Austin
Seller 1•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Sddres(Number and Street) Address(Number and Street)
Pr ,ate cant i IA-1 ll 0
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete as required by law,and is prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act".
069 t 46:M_.
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Signature eller Signature of Seller
Caroyln A Austin 10/13/2017
Printed Name of Seller Sian Date(MM/DO/YYYY) Printed Name ofSeller Sian Date(•M/D0/17111
;;Ft,BUYER(SWGRANTEE(S)_APPLICATION;F.OR.PROPERT;Y_TAX,DED.UGTIONS IDENTIF,Y;ALL;ITEMSTHAT:'APPIIY —7'7-77—1
Caleb Brown
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d i
2631 West 50 South 'Q6t
Address(Number and Street) Address(Number and Street) —. 1
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA/its' s. I7
YES NO CONDITION I YES NO CONDITION 1GO,
•�❑ 1.Will this property be the buyer's primary �❑ 3.Homestead I�R
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State te,ZIP Code County
❑ Lv 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)
210-11 - 15 - a0a00I 3 70-2 7
City,State ZIP Code County
Primary property owner contact name E-mail