Homestead_Maynard (2) INDIANA SALES DISCLOSURE FORM SDP ID: - Page 2
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RAECHEL GASBARRO DOCUMENT REVIEW
Preparer of the Sales Dlsriosai-e Form Title
27 JOHN CLARK RD SOLIDIFI TITLE&CLOSING
Address(Number aivi Street) Company
MIDDLETOWN RI 02842 401-841-9991
City,Stare,and ZIP Code Telephone Number E-mail
_HANS_BENDEN j_yhiiiiargnEN
Seller I-Name as appears or,con veyance document Seller 2-Name as appears on conveonce document
_652_East_Ficenhower I ane__ 652 East Fisted sm.
Address(Number and Street) Address(Number and Street)
Under penaltie,s of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complet s re7d by law,and is prepared in accordance wit l . .5 "' -II Prope y Sales Disclosure Act".
. j el4/ fill 1 1/'
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. .:F..-BUYER(S)/GRANTEE(S) APP.LICATIONTORP.ROP.ERTYJETAVDEDUCTIONSI b ENT!WALL'IT EMS:THAVAP.P.LN:::::::M:::::REM:::::::::::YM
MICHELLE_MAYNARD _
-
652 East East Eisenhower Lane —_
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 THAT A4,4,,e44
YES NO CONDITION I YES NO CONDITION GIBSON COUNTY AUDITOR
(A 9 1.Will this property be the buyer's primary 0 9 3. Homestead
• residence? Provide complete address of primary 9 9- 4.Solar Energy Heating/Cooling System
residence,including county:
9 a 5.Wind Power Device
_ &SP 503,- EiStphawer &gm( •
Address(NumbeindSt
t9 9 [7 6.Hydroelectric Power Device
9 0- 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County 9 Li 8. Is this property a residential rental property?
0 0 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 9 E-- 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 belotv. Please see instructions for more information.
county' available in all counties.)
Address(Number and Strert) —
iti2(9-1 4-2a- ibii- COD. 3157-09Y
City State ZIP Code County
Pnmarypropertyowner contact name E-mail