HomeMy WebLinkAboutHomestead_Bryant INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Kim Loesch Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville. IN 47715 (812)490-8485
City,State,and ZIP Code Telephone Number
E-mail
E SEIIEROGRANiTO LM yz. - - „' - - ' " -t —
Misty A Sevier
Seller Name as appears on ,•once document.- Seller 2-Name as appears on conveyance document
re -(Number and Street) 't/flV^f \J Address(Number and Street)
Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and fo e as required la , d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
%Signature of Seller cr �a,(in- 0 1„'33 Signature of Seller
Misty A Sevier 0 Vi
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Printed Name of Seller Sign Date IMM/DD/YYYY) Printed Name ofSeller
Sian Date(bM/DD/Y)YY)
-:ABUYER(5•)X6RANTEEa r1 ;arfaATIONeFOR4PROPEERYLTA WED.UCTII0N—SMEN14IFIY AKIlligITS-gi iAPBL`Y' _ c.V.C71
Shelby D Bryant
Buyer I-ame as ayyears on conveyance document Buyer 2 Name as appears on conveyance docu
um//ber/dd dS Sn f) /'7// i _5 __
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Addy-D • // Address(Number and Street) /: E
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AW47) `�
YES 0 CONDITION YES NO CONDITION AVOfTOR
Q�❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
d /reside ce, cl ding c u
o /�, v� ❑ ❑✓ 5.Wind Power Device
Address ,�mbe{,�a,/y-7�s�[vep/,� /�� //�,y� ❑ 2 6.Hydroelectric Power Device
'IPCode . "'�`�/ �' U7 J/ ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,Store ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 2 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) —q/
I�I(o —/9 aJ/—t 103 -I 070 . ,QD9
City,State ZIP Code County
Primary property owner contact name E-mail