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HomeMy WebLinkAboutHomestead_Hale (9) INDIANA SALES DISCLOSURE FORM SDF ID: Paget 'D°PREPARERats5S,Sn.,:,SF^ca�� AA.s�� etTti =-- :: g_Errit, .'"-.s-r`- >x�:.,xs.. ,.a:-.d::.�^ " _- . LANA C. HARPER CLOSER' Preparer of the Sales Disclosure Form Title 5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE. IN 47715 812-468-8485 City,State,and ZIP Code Telephone Number E-mail >E"SELLER S 'GRANTORS A �+ts��-ceta ' 4SW;-"��i'��•,4�,3;t,'`}a.�•, V BDS Partners LLC 1I I-flume as ppears on conveyance document Seller 2-Name as appears on conveyance document Me - ( `!�/ W jJ(/vMJo/4' ?7' /A 7[3 D City,State,and ZIP Code /v L� /4 ‘?7' Telephone Number E-mail Telephone Number E-mail Under .enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an ealthete as r_. -ir..?)y law,an. is prepared 'r .ccordanc wit. IC 6-1.1-5.5,"Real Property Sales Disclosure Act". S�a to of.Seller I• Iiv e -wyerof Seller Printed Name o-Seller Sian Date(MM/DD/YIYY) Printed Name a Seller Sian Date(.MM/1)0/rYln1 .tf t __ r -'-E ___ —_ _ice_. _7r[ "T-T'T T--A rtP BUYER(5)%GRA\TEE(S)_,,APhLIG�ATIONaF,QR�PROPERTY�4T.IX�DEDUCTj[OhS-�IDENTIF�Y;A_LL'tITEMStTHAT�'APPLY` Jack E. Hale Bever I-Name a..a pears on eyence document Royer 2-Name as appears on conveyance document ,S i na r 1 j _9V-t&t A (Number and Street) 7Z) Address(Number and Street) - THE YES NO CONDITION YES NO CONDITION / 8 YES 1.Will this property be the buyer's primary ❑ 3.Homestead . 1 3 2018 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device • Address(Number and Street) ❑ 0 6.Hydroelectric Pir eCttNTY AUDITOR cgesrarezi ode County ❑ IA 7.Geothermal Energy Heating/Cooling Device - ❑ 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) ��(( ^ /� .�.tl ( �j City.State ZlPCode Lounfy `�-"e_ta-vL - 1,a3.6o ( . t - i.a- a„ Primary property owner contort name E-mail