HomeMy WebLinkAboutHomestead_Martin (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Ruth Horton Closer
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (812)759-5555 closinest )reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail y
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Zachary'W.Schlumpf
Seller I-Name as appears on conveyance document Seller I-Name as appears an conveyance document
408 Bob Court
Address(Number and Street) Address(Number and Street)
Evansville, IN 47711
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and come teas required b la ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
• Sig r'Seller
•
THE ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA PL .
YES NO CONDITION YES NO CONDITION
APR' 3 0 2018
❑ 1.Will this property be the buyer's primary Y J D 3.Homestead
residence? Provide complete address of primary ❑ p 4.Solar Energy Heating//poling st
. . residence,including county: 0 5.Wind Power Device
105 N Church St rTNNUNTY AUDITOR
lA
❑ 0 6.Hydroelectric GIBSON CO
Address(Number and Street)
Owensville, 7665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP e COO°ty ❑ [X 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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.)
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Address(Number and Street) Chandler L.Martin
City State ZIP Code County Primary property owner contact name E-mail