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HomeMy WebLinkAboutHomestead_Shepherd INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2 uD:PREPARER',, . :,y a a r "mss rte' -'9. ,."74:7= t - Kandace Rogers Closer Preparer of the Sales Disclosure Form Tide 3101 N.Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville, IN 47715 812-471-8563 kandaceecolumbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail E SEITE tIS)%GRAIN OR(S) , �e- . _<,- r? _ `__ . e'- -y3 " Angela Marvell Denu Seller I-Nome as appears on conveyance document Seller 2-Name as a rs on conveyance eyance document 1540 N900W Address(Number and Street) Address(Number and Street) Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". INCcr ca�..re 4n �a Signature of let Signature of Seller Angela Marvell Denu 11/10/2017 Printed Name of Seller Sian Date(MM/DD/trrr( Printed Name of Seller Sian Dare(MM/DD/riY11 r.:FI BUYER(S)'/.GRANTEE(S),YAPPI ATION!FOR`,PROP,ERW'TAX:DED.UCTION =IDENTIFit.31 "' Jennifer L.Shepherd Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9559 East Main Street NOV 15 2017 'Address(Number and Street) Address(Number and Street) s) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION NO ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence, including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County ❑ ZI 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 ❑ El 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) es6 —a0-I4 -301- 00 'C I City,State ZIP Code County V/) Primary property owner contact name E-mail