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HomeMy WebLinkAboutHomestead_Glass INDIANA SALES DISCLOSURE FORM SOF ID: Page v D.=PREPARER; __r = .__ _ — 1 - n Kandace Rogers Closer Preparer of the Sales Disclorsre Form TRIe 3101 N.Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville.IN 47715 812-471-8563 kandace(ilcolumbiatifiegrouo.com Clry,State and ZIP Code Telephone Number - £-ma B I E SECGER(S)%GRANTOR(S) - _l= a IJeffrey R Nixon Amber I eanne Nixon Seller 1-Name asap�Oon o vevnce document SelerZ•Hawes rs on conveyvuedocument }}44'' 5 O) 4115 0'o I,) Add 4s/ Under •aloes of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co s p - e as 2,,u11. by law,and is prepared in accordance•C 6-1.1-5.5,"Real Property Sales Disclosure Act". /�.t e�/J1/�ie � Ls I �_ ��� r° %i of — r eo der r sill re of5eller. _ �j Jeffrey R Nixon /A , 7/ Amber Leanne Nixon 'I -22 I -t Printed Name of Seller - Sign Date(NN D/YYYf Printed Name of Seller Sign Date(Im/DD/YYYY( i F:=BU,YER(S)/GRANTEE(S)t APPLICATION IFOR'PROPERTYTAXsDEDIJC IONS-IDE,NTIFYAELIITEMScTHATAPPLY ,-__a4, -Andrew C,Glass it A A ♦- Buyer l-Name as appears on conveyance document erg-Nam(el as•ppearson prance dace at 313 South Race Street X13 Bales 1 iC ck ,1-T,Qrf . Address(Number and Street) - (Num rand Street) Princeton. IN 47670 (I V)�.t+pin THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO - CONDITION FILED ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence?Provide complete address of primary residence,including county: ❑ © 4.Solar Energy Heating/Cooling System ❑ ❑ 5.Wind Power Device 2017 Address(Number ❑ 1i 6.Hydroelectric Power Device City, to PCode Caunry ❑ 0 7.Geothermal Enert4 jtri.J ir•,j2'.•li;: Device ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this propD oBI at. ifeYtAL(Ab 11th? vacated for this residence? If yes,provide ❑ 2 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) ^67-1d`Oi/LIOt coo. R19 -cal Clry•State ZIP Code County VN(`/ Primary property owner contact name E-mall