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HomeMy WebLinkAboutHomestead_Dillon II • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 6D..PREPARERi S _ ,_;7:..`..,k'Sr,"-� may.. '-t'Iw-. ,T - rY.�7, - ,r.r`e � ,..'� -4:--y . 757.7 Lynette Murray Processor Preparer of the Soles Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville. IN 47715 812-490-8485 theteam(a firstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail 3,E7SEligER(S)%GRAN',9iOR(S) a`__Tail- 7.r :.4 `: '« 4 -s. i'-,-' `. -. 1,-",,,,?. .'''''W'lie` a Kathryn E Roberts Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5335 $ be4'Retd >Y. Address(Number and Street) Address(Number and Street) O vv e lASAED-o K`I H 23 01 to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". \n/ �Dd l 21 Qo-e,-Qcr I - Signature of SA r Signature of Seller 9 Kathryn E Roberts - 7-- 1 0 Printed Name of Seller Sian Date(HM/00/YY1Y) Printed Name of Seller - Date(HH/Da/YYVY) rF'BUYEB.LS rD'.i�rTFE(Sc AP;6LICATION.EOR OP.ERT1YrtT-QXYDEDUGTi.IONS IDENTIFYAL 17 i_I Ali • _:i _ : '_ " ': onnie Shea Dillon II • r'1 Y li r B •er - - conveyancen d ,ent Bayer 2-Name as appears on conveyance document r7Qf �C1Gt_- h IL,- d. yei ._ SEP 11 Z018 Addre ber and Street) Address(Number and Street) is r(svl Il-e, .-1U cI7) Ls �II 1/- �r�St/ Telephone Number E-mail THE SAL DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORT PER . IDENTI HOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary z u - d- residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System �resi ce,mcludina oun 7(/ b- KS (31 . T/vs� ❑ ❑✓ S.Wind Power Device Addr y` umber and Stret) ❑ 2 6. Hydroelectric Power Device •(�/ nee" rift)) CrNe 70 ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 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) 36-ta-ari- iioa -to3.3‘8-oae City.State ZIP Code County Primary property owner contact name Email Number License/ID/Other Number