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HomeMy WebLinkAboutHomestead_Simmons (7) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _. - --- - -a.; -a-�- - Deena Hendrickson Closing Services Preparer af the Sales Disclosure Form Title 7820 Eagle Crest Blvd.. Suite 201 Regional Title Services,LLC Address(Number and Street) Company Evansville. IN 47715 812-759-5555 deena.hendricksoreregionaltitlellccom City,State,and ZIP Code Telephone Number - E-mail EE SELL'ER(S)GRAfv'.TQR(S)1`- • — . George F Inhnsnn and Martha L Johnson Rev I iving Trust 7/8/97 Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 610 F State St Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". `S(gnatureDfSelle Signature of Seller Zb1 Printed Name of Seller Sian ate( /aD/YYY1) Printed Name of Seller Sian Date DD./DO/M) $fiySU.Y,ERMY,6 tRANTEE(S APP�TLIEa10NiF.ORiPRO'PERTiSAX(DEDUGTiINS IDENIT)IF1'(AL'L4ITEMSITHATeARPLYl Amber Simmons Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 7337 Highway 62 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 TIIAT APPLY. FEB 12 U 2018 YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary (7) ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coej(jgt _sf t • residence,includAg county: r St( ti ❑ TA 5.Wind Power DevifeIBSON COUNTY AUDITOR Add`esess(Number and Street) ❑ El 6.Hydroelectric Power Device ritn.CR tn � U���3 bib, �] Q 7.Geothermal Energy Heating/Cooling Device City,State IP Code County ❑ 2.Does the.buyer-have a homestead in Indiana to be ❑ IN R.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 Street) 9 � / P City,State ZIP Code County b - 1 a .n 7-a ou I ' y� o; Primary property owner contact name E-mail