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HomeMy WebLinkAboutHomestead_Maikranz (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 dDkEREPARER " ` 'L t- Sherri S Hudson Closing Manager Preparer of the Sales Disclosure Form Tide 501 Main Street.Suite 101 Bosse Title Comoanv Address(Number and Street) Company Evansville.IN 47708 812-421-4000 closinq.deotaieffbosse.com City,State,and ZIP Code Telephone Number E-mail EISELLER(Sj%GRAANT.OR(SIFTr- c rf , .t ,.,w -„ ,7 ,. ;C? , cF' p? I LDD Properties I LC Seiler I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2068 N Carithers Road 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 an complete as cared by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". S(ggeaturidfSeller Signature of Seller \'IV 1 CA bVV11'∎ CeVOY/aPl� Thin Name ofSelle Sfpn'Date(H47DD/YY}Y) Printed Name of Seller Sign Date(.MM/OD/YYYY) iI?F..:BUYER(SNRANiIFEE(S) 'APP,L+ICAT IVII EORIPROPERTATAXTDEDUE TIONSIJIDENVPNA tiiiIEMSy• AT,AP,P,L'YL7,a• a`zY ;; SamanthaJ.Maikranz Mark A. Weiohtma T Buyer I-Name as appears on conveyance document Buyer 2-Name as appears o e documen ti 730 N.4th Street Address(Number and Street) '• Address(Numberand Scree-t FEB 1 3 2018 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THERV W N COUNTY AUDITOR YES NO CONDITION YES NO CONDITION V ❑ 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: ❑ rA 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device ❑ 17) 7.Geothermal Energy Heating/Cooling Device Ciry, tate ZIP Code County ,_.,/ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ L'� 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(N rand <) Ado 5I • Warrick_ 02(a - I4-l8 aOl- tap. Bas-Ct`l Ci .ta• ••e Al • County )1 • /