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HomeMy WebLinkAboutHomestead_Tackett INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 - D.PREPARER - - THOMAS L. MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form Title 101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE.LLC Address(Number and Street) Company EVANSVILLE. INDIANA 47715 812-402-6555 closingsetruetitlein.com City;State,and ZIP Code Telephone Number E-mail 'E.SELLER(S)/GRANTOR(S) - _,- TINA MARIF WINTERS Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 893 NORTH POI K DRIVE Address(Number and Street) Address(Number and Street) Undet enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co • • e as r ired by law and ispreparn accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ..nature of Seller AO I Signature of Seller TINA MARIE WINTFRS 11/ S /2017 - 11/ /2017 Printed R(S)/GRA Sian Date PERTD/TA Printed S—IDENTIFY Sion Dale(MM/DD/YYY)1 'F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-.IDENTIFY-AL ttT P y}®ply'/al}�y - NNOR P,TA KE • rs on conveyance document Buyer 2-Name as appears on conveyance document 823 NORTH POLK DRIVE, NOV 2 7 '7017 Address(Number and Street) - Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDm0N I YES NO • ' 0 ❑ 1.Will this property be the buyer's primary I ❑ 3.Homestead) residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 5.Wind Power Device 873 NORTH POI K DRIVE Address(Number and Street) ❑ Q 6.Hydroelectric Power Device OAKLANDITY, INDIANA 47660 GIBSON ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,StateZ Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ IN 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 Sweet) CONNORP.TACKETT la'/%' /p • 010/ - OOC.i,3 y_J09 City State County ZlPCOde ty Primary property owner canton name E-mail