HomeMy WebLinkAboutHomestead_Graves INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Jeff Dodson Closing Agent
Preparer of the Sales Disclosure Form Title
1911 Lincoln Ave Clear Title Company
Address(Number and Street) Company
Evansville, IN 47714 812-423-8854
City,State and ZIP Code Telephone Number E-mail
(mELLER(S')r/.GRA'NTiOR(s: .irx'k--$ a- ,.;:.r°c -- 7. _�- " •g-c�...r5; s...— ;`. :- »`-r.:. .
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John Collins
'Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9797 ey 7�-3
Address(Num•er and Str 1 t) Address(Number and Street)
L9 .. ' _ � I 0 , D
U er p naliies of perjury,I hereby ce . ify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
al d con( let as re red 1 nv,a I )Fepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
M natur Sellee Signature of Seller
B �` �C 4 II CAS 1/49°11?.
Prime ame of Seller Sign Date(MM, 1'il'll Printed Aameffcller Sian Dare KW/WITTY)
FHWI it:R S i0MIRE S Q'PPLIli I F„0l kCill qq!T:1AX DENUC1.IQ\Sr1i 'Ifl'AL1tI gN ntti S I ral .
.Robed J. Graves
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on convey r oc
126 N Jackson B
Address(Number and Street) Address(Number and Street) ��
Oakland City, IN 47660 OR
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF 1.•e 1t : •YES NO CONDITION coNDrrmN property p rty y primary 0 YES NO CONDITION❑ 3.Homestead yAULir1-0.,
1.Will this roe be the buyer's rima
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q
126 N Jackson St 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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) M
City,State ZIP Code County Z lo— I LI— I �_ 4IO , _coo .�(o!o - OO7
Primary property owner contact name E-mail