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HomeMy WebLinkAboutHomestead_Spencer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 (Dk @REPARER - CHRISTINA LENFERS CLOSING AGENT Preparer of the Sales Disclosure Form Title 501 MAIN ST STE 101 BOSSE TITLE CO Address(Number and Street) Company EVANSVILLE IN 47708 812-421-4000 City,State,and ZIP Code Telephone Number E-mail E:=SELiLER(S)GRANT,OR(S)'. .,--e -.<,...—T-- `: - +' - -- f . BENJAMIN R STRICKI AND CHRISTINE A STRICKI AND Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 992 Mil NFR AVF SAME Address(Number and Street) Address(Number and Street) I OVELAND CO 8037 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an I complete as required bylaw,and is prepared in accordance with�I 6-1.1-5.5,"Re 1 Top 4 les Disclosure Act". �Sigtr>a of Seller t"S�Nre of Seller f4FNJAMIN R STRICKI AND CHRISTINE A STRICKLAND Printed Name of Seller Sign Date(MM/DD/YYYY( Printed Name of Seller Sign Date¢IM/DD/Ym7 IF,LB.1,YER(S)'fGRANETEE(S)L'APP,LICATIONIF,ORkRROPERTIYLTAX4DEDUGT:IONvIQENTIFI'yAL•lliTEMSOHATIAPFCY/r°`• . °C-, - ." JOHN D.SPENCER II HEATHER N. SPENCER Buyer I-Name as appears an conveyance document Buyer 2-Name as appears an conveyance wDent P R Sk- SAME Ad ras//(;N�l�b�er d t)\ �I '1 Address(Number and sorer) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY AWEOTSl TAPPLY. YES NO CONDITION YES NO CONDITION C NCOG Yd ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead TY /711 residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Coolil(gN,ctem N.N IS re idence,including unty: \` O ci tnt--V1 ❑ a 5.Wind Power Device 5 dress(Nmbrs dso-eery- -�` 1 ' I _�7 /', )L\�--y'.I� ❑ d 6.Hydroelectric Power Device `'� t` V' `c 'T�1y l o ll `"�" , ❑ [J(2 7.Geothermal Energy Heating/Cooling Device Ory,State ZIP Code County rN�Ji ❑ g 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 ❑ �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) 2-6-)0-0 7-_ CFI()Cc ya 5aa s� City,State ZIP Code County Primary property owner contact name E-mail