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HomeMy WebLinkAboutHomestead_Maners INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 EDYIP,REBARERI , , t.-'- a .'.----:.'-em . •p - - _ 1 ,-. , t/ a '?5-'r tics-r. 7 — __• Karen S.Creek Closing Agent Preparer of the Sales Disclosure Form Title 501 Main Street,Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 closing.dept®ieffbosse.com City,State,and ZIP Code Telephone Number E-mail SW SELLER(S)/GRANTOR(S)L -- r u . '' .. .h- .r ..« 1.:12 ''. ,,z - .--.,t--z- 77; —7 KEVIN DFJARNETT Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document • T6P- .S by/ /ot) N Address(Number and Street) Address(Number and Street) /- i?cc%t1" . -.-7 1/7670 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and Clete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller KEVIN DEJARNETT 1//30-7/7 Printed Name of Seller Sign Date DMM/OD/YYT1) Printed Name of Seller S Dote(HM/DD/YYfl) v rte —�—T e I a ' A i C-. 11 [FeBU,YER(S)/.G RANTIEE(S)L'AP,P,"LICATION�EORPROP,ERTIYtTAX¢OED.UCTIONS�'IDENTIFY(ALTL�TEMS�THAT,AP,P _�:" ;�-`' 1 JARED D.MANERS BRITTANY K. MANERS Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document O .�� 310 N.Third Ave 310 N.Third Ave Address(Number and Street) Address(Number and Street) C' / f D THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. 14, YES NO CONDITION YES NO CONDITION O/TO 0 ❑ 1.Will this property be the buyer's primary Fl ❑ 3.Homestead R residence? Provide complete address of primary ❑ Fl 4.Solar Energy Heating/Cooling System residence,including county: P 310 N.Third Ave El J ig 5.Wind Power Device 5 Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device Princeton,IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County El 2.Does the buyer have a homestead in Indiana to be 111 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Fl 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) 1/9-d,4 Ciry,State ZIP Code County 027, -// /?- /got-�Od. 2 Primary property owner contact name E-mail