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HomeMy WebLinkAboutHomestead_Viner INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 18 - 1113282 Page 2 CD4PREPARER) ;' . William Bender Attorney Preparer of the Sales Disclosure Form Tide i 17 W. Main Street Bender Law, LLC Address(Number and Street) Company Poseyville,IN 47633 812-874-3636 kayla @benderlaw.biz i City,•State•and ZIP Code Telephone Number E-mail -.SEELER(SJ/•GRANTOR(S)) - - - . -- T-- Keith Mulvaney Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document 11787 W 925 S Address(Number and Sweet) Address(Number and So-eec) Poseyville, IN 47633 _ Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cgmpl eas rRqu•red 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 Keith Mulvaney /_/4—/8 Printed Name of Seller Sian Date(M.N/DD/YYf) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. rr YES NO CONDITION YES NO CONDITION © ❑ 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: 8474 S SR 165 ❑ 0 S.Wind Power Device Address!Number and Street) ❑ © 6.Hydroelectric Power Device Poseyville, IN 47633 26 ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County El ❑ © 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 ❑ 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�avvailablee''n all counties.) Address(Number and Street) _/'2/9 y yo-oo 3 6a 7�a/ CM/ellvi(nn R VLY/ler / City.State ZIP Code County Primary property owner contact name E-mail