Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Canillas (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Pare 2 D.PREPARER • Deena Hendrickson Closing Services Preparer of the Sales Disclosure Form ntle 7820 Eagle Crest Blvd., Suite 201 Regional Title Services, LLC Address(Number and Street) Company Evansville, IN 47715 812-759-5555 deena.hendricksonc regionaltitlellc.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS GRANTOR S Sara I Clayromb Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 411 w Spruce 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'mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". a. ,,evu----e---- �nature of Seller Signature of Seller .3 kUtt Printed Nameo Seller Si•n Date MM DD Printed Nameo Seller s=L i I I •1'4!b.; MM DDUW lailigabytmois_ • .. CA 0 1 ► . .. ► . , . V ► I► ►it_- ► 1 , . . ,• Il hE1n'''ral®' •�.:'. ( . on conveyance document Buyer 2-Name as appears on conveyance doyen( 0 2O10 2150 Fosters Way Aot 3 At( U Address(Number and Street) Address(Number and Street) Princeton, IN 47670 ___ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES _ t • , +p _ ❑ 1.Will this property be the buyer's primary Pr ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: L'(` L j },F ❑ IA 5.Wind Power Device F A dress(Numbe and treet) _ �O y� ❑ 0 6.Hydroelectric Power Device �`(II'\\C.A.•\t -i LTvN �11.J CI)iir)C.fl ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ WI 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) 024 - Id - 07 — to/ - ooa - y89 -a x8_ City,State ZIP Code County Primary property owner contact name E-mail •