HomeMy WebLinkAboutHomestead_Minnis INDIANA SALES DISCLOSURE FORM SDFID: Paget
Stacy Brown Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
• Evansville, IN 47715 (812)759-5555 closines @regionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
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Jack S. Light Donna G. Light
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street) 2 �VI
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
aJ a as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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LI 3_/ Donna G. Light y' /3-/g
Printed Name of Seller Si re MA! U
9 ( 1d MTq Printed Name of Seller Sign
@ E;48pMERGc irlaRAi1+TEE(SeARR216.1VT+100 NIEOROP.ROP-ERiT7ATAX5D t1G11iIOD Ns-5IDENTIFWtA'ITL.1TiEMSYTHAT AP.P.LY Cr,a -1
Philip M.Minnis
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doe
900 S Main St
• Address(Number and Street) Address(Number and Street) ILED
Fort Branch, IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE If/1lC-
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�aICOUNTY AUDITOR
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary [ ❑ 3. Homestead
residence? Provide complete address of primary ❑ p 4.Solar Energy Heating/Cooling System
residence,including county: ❑ p 5.Wind Power Device
409 N Main St
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville,IN 47665 Gibson ❑ �s/ 7.Geothermal Energy Heating/Cooling Device
Co State ZIP Cade County ❑ 6a 8.1s this property a residential rental property?
❑ ✓ 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
• vacated for this residence? If yes,provide
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) S
Address(Number and Street) Philip M. Minnis �L- ` (- 0 [4V( `bte.) -taa
Cry-State ZIP Code County Primary property owner contact name E-mail