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HomeMy WebLinkAboutHomestead_Good INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 " -'rSe h-r _ 7'1.o 'T-F.v-Y�FW:P^±r-.f.r....-. .'ju .�< QI)PREPIRER -t'- r 'a i rte . Allie Alexander Processor Preparer of the Soles Disclosure Form Title 2301 N. Burkhardt Road First Advantage Title Address(Number and Street) Company Evansville, IN 47715 (812)490-8485 City,State,and VP Code Telephone Number E-mail I,E?!SEfLERLGRANITQR(S) .--'r_ _ v _ .L- :.f3:.r-„=,t:,. Qth -. Yam:"ail:.,.4t-,;.-(,,. °"x—' . .,L-A r � Regina Falls Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document /S Cg. S ) DSO E A dress(Number and Street) .. (Number and Street) - 4-wlq-h-)0 4- Under Ienalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and[r replete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /1:_) Si alum"Seller / - !/ Signature of Seller /7 ' Regina Falls -9 7 Printed Nome o Seller Sian Date MM DD/1TY11 Printed Name a Seller Sian Date MM/DD/YYYY) rF RUME—R(SyGON)TEE `"r1,'P,FTOrt IONiFORjPROPERI►Y/,T>A)ADEDU-1$1110 tI_DENTjIFYQALL+.I)TOISETjHi1RA OST7Y7 ■ Debora Good Buy!J-I"V as appears tc conveyance docur4f • Buyer 2-Name as appears on conveyance dacummr Addr 'umber a•d treet) / efjCY./1J� Address(Number and Street). THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T n-A't1 AI YES 0 CONDITION I YES NO CONDITION �AM. ❑ property y p' y ❑ 3.Homestead loo 1.Will this be the buyer's primary O residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System n// resi epeencll5ngynty: o f / gri ❑ ig S.Wind Power Device Addres N cob dStreer /1 , ❑ G.Hydroelectric Power Device` f / y ° ((Moo ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code I County ❑ ❑ 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 available in all counties.) Address(Number and Street) City,State ZIP Code County 7 (D-/14 i3 3O9OOp 70 I 007 Primary property owner contact name E-mail