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HomeMy WebLinkAboutHomestead_Kien ..INDIANA SAGES DISCLOSURE FORM SDF ID: Page 2 t,DDPREITAI R Abbey Messel Closer Preparer of the Sala Disclosure Form Title 3101 N. Green River Road Suite 130 Columbia Title. Address(Number and Street) Company Evansville, IN 47715 812-471-8563 abbey(tilcolumbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail Fa•SELLER S 7,G-RWNI_ITOR•S j • • ' - i `, . - :. '_ - -- --1 • : . - -. , Chris Marsh Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 403 E Old Petersburg Road Address(Number and Street) Address(Number and Street) Princeton IN 47670 Uhder/Ialties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and,`' plete as r quire(' by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller p Signature of Seller finis Marsh (P ' I I Si Printed Nome of Seller Sian Dote(MfM/DD/7Yrt) Printed Name of Seller Date(MM/DD/YYlY) PAM:l ER()`,G-R TEESO/SRP,LICr BLONIE.ORW,ROPERTttillA aDEDUCT,IOTS1-2IDENTlFaial ; ri III L Nhut Minh Kien •Buyerl-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document �O�Q 715 South Seminary Street JUN V THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION � YES NO CONDITION 1 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System resid nce,including county: 1 t 6 So M,k \,q i j ❑ P 5.Wind Power Device . Addr Nuinbbeerr/d�dSSttr�eet) e /7 D ^ ❑ ❑ 6. Hydroelectric Power Device cy,srateifpldde'- ' I u k l lil County ❑ ❑ 7. Geothermal Energy Heating/Cooling Device ❑ Z 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 ❑ z 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 617,-1 a- o"i -- �f o3- 001- 61 -WS Primary property owner contact name - E-mail -