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HomeMy WebLinkAboutHomestead_Malone (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREP/�RERE3_ "-r:,",:. ' ems.w .:,7: . 1 .-:": ' t, , r-, —t a- --71 Sherri S Hudson Closing Manager Preparer of the Sales Disclosure Form Title 501 Main Street,Suite 101 Bosse Title Company Address(A'umber and Street) Company Evansville, IN 47708 812-421-4000 closinq.dept(aieffbosse.com City,State,and ZIP Code Telephone Number E-mail E SELI:ER(S)/GRANTOR(SPg T"- 7— "i i`,.'i , - '. tat ;7-":j Deanna K Tobias Phillip A White Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document (052 E. Van 13avu1 st• /o /30x IS3 Address(Number and Street) Address(Numberand Street) I\ e TN 41655o oc.✓E,vJP.G/ /A-"/ ?/1r Under penalties of perjury,I hereby certify that this Sales Disclosure,to the liegt of my knowledge and belief,is true,correct and complete as requiredby law,and is prepared in accordance with IC 1.1-5.5,"Real Pr p rty Sales Disclosure Act". 4-Oth.61 IC? Signature of Seller- Signature of er DeannaK Tobias /0/26 /7.4/? Phillip A White Vb/26 �/G Printed Name ofSeller Sian Date(MM/OD/Ym) • Printed Name of Seller Sign ate(MM/DD/mT) FtiBUYiER(S)%GRANTEE(S) AP,PL'IGATIONfEQWP.ROP,ERTA rAMEDUCT,IONS DEN;TIFNALL,ITEMSTiHATAPIP Y -4 ..G ,L;; Olivia Malone Buyer I-Name as appeorson conveyance document Buyer 2-Name as appears on conveyance document 2820 Grassy Creek Dr Address(Number and Street) Address(Number and Street) 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.Will this property be the buyer's primary � ❑ 3.Homestea @IBSON COUNTY A AUD,TOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZI County ❑ ❑ a 2. Does the buyer have a homestead in Indiana to be 8.Is this property a residential rental property? P Code vacated for this residence? If yes,provide ❑ 1 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) ao- fl- OI- '-ID0 - 0o9. I A-I I City,State ZIP Code County Primary property owner contact name E-mail