HomeMy WebLinkAboutHomestead_Halbig (7) INDIANA SALES DISCLOSURE FORM SDF ID: Page
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LANA C. HARPER CLOSER
Prepares-of the Sulee Disclosure Form Title
5251 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE IN 47715 812-468-8485
Curt S:atG and ZIP Code Telephone Number E-mail
SE.aSEI3l:ER(8I%GRANTOR6) nXgA r z_ _-_" a" t __ {tfi _ C . 2 a ..3 ,
I arty E Kelsey Judith t Kelsey
Seller 1-Name as cancers on conveyance docmnee^t - Seller 2-Name as appears on conveyance document
,Address(Num and Street) , f At cress(Nurnber Tit)
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correct
II and colnpl e as required by lad a is prepared in accordance wi6-1.1-5.5,"Real Property Sales Disclosure Act".
eSte arc of Seller ( (/ Signute of Seller ' )] 2
I airy F Kelsey 1 -3,-\t •' 1 . K-I - " '3
Printed Name of Seller _ Sian Date(MM/DD/IT Printed Name a Seller Sian Dote(1414/D0
• ' ainertNTEESSArR ferViIONIF,,OR<PROP-ERTATAMPERUKIIIOT'S151DEI\TIEWAI WNISfTHATrfAf;PCY ; =`•, .n1.-t
1 Jared M. Halbi. -. Kelsey L.
an conveyance da men[
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s(.YUmlxr and Street) _ A
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IDENTIF1 - e HOSE THATAPPLYY..
IFS \'0 CONDITION • YES '0 CONDITION I �
V ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead J
residence? Provide complete address of primary U it 4.Solar Energy Heating/Cooling System
residence,including county: JUL 11 2018
❑ IN S.Wind Power Device
Address(Number and Street) ❑ ❑ 6.Hydroelectric Power D vice
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❑
City,::cote zlr ode Leung'
0 7.Geothermal Energy ) eve
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❑ LJ 2.Does the buyer have a homestead in Indiana to be
❑ IN 8.Is this propert9M t�Lntial.42�t'allRLiipETCR
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.) ,C-�b�^2
Address(Number and Street) l�. •
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City,Stare ZIPCode County
Pnmary properryowner contact name E-mail
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