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HomeMy WebLinkAboutHomestead_Bender INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 5.` . .._ DSP,REBARER - - ... .:r:. . '=r c Britany Barnes Agent Preparer of the Soles Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com City,State.and ZIP Code Telephone Number E-mail zE!SELCER(S)%GRANTOR(S) - - . . Brian D.Wilson Amanda L.Wilson Seller I-Name as appears on conveyance document Seller 1-tame as appears on conveyance document 10222 S 1075 W 10222 S 1075 W Address(Number and Street) Address(Number and Street) Poseyville, IN 47633 Poseyville, IN 47633 and complete as required by law,and is prepared in accordance s''th IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �2u /U (�✓/C/J 5,1! S. i�.t,a • -.1.-1 -c/ Signature of Seller Signature of Seller Brian D.Wilson 0-7e '-jla(�j g Amanda L.Wilson Q - /(5c / c ' Printed Name of Seller Sian ate(MM/D0/117) Printed Name of Seller Sian Date(MM/oD/YYYY) _ }1£fl3fG-Rft?vG(S14.AP,P.LICATIONrF.ORPROPERTYTAX,DEDUCTIONS:',1IDENTIFYi1LLITEMS.THAT:ARPCY . „ / Debra K. Bender Jl Lukas A. Bender payer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 11500 Black Chapel Rd. 11500 Black Chapel Rd. Address(Number and Street) Address(Number and Street) Poseyville, IN 47633 Poseyville, IN 47633 YES NO CONDITION YES NO CONDITION 0 D❑ 1.Wi ll this property be the buyer's primary 12 IN 3.Homestead residence? Provide complete address of primary te 4.Solar Energy Heating/JOLSE ysm residence,including county: ❑ ❑ / ) S X 07 1b) 5.Wind Power Device JUL 1 1 2018 11 ess umber and?yet) I W ❑ © 6.Hydroelectric Power Device 6 lilt eY 47/033 ❑ ❑ 7.Geothermal Energy H mg/C lip Om tate ZIP ode I County a.. ❑ ❑ 8.Is this property a res o errtryy? ❑ 2.Does the buyer have a homestead in Indiana to be GIBSON COUNTY UI�Of vacated for this residence? If yes,provide ❑ (� 9.Would you like to receive ax statements or this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for more information. :1 - -mall if Not available in all counties.) A1; ' tuber and Stre • / 659 ' /Y •--) ^\ ` ' /'yam � y^y'� f City,Sid 44.1 C��oullnry ��S/, I 1 3a- �1 J 'Y-+I-IJ. `��� ��I Primary property owner contact name E-mail