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HomeMy WebLinkAboutHomestead_Pierce I INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 DI.PREPARER13 — — -- — — Kandace Rogers Closer Preparer of the Sales Disclosure Form Title 3101 N. Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville, IN 47715 812-471-8563 kandacena.columbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail 'ESEEbER(S GRXigjQR(S)l. ' — -- - — — Norman C Reynolds Carlotta G Reynolds ' Seller I-Name as app rsonconveyance document eller Nam as appea. n cone nee docu ent 12 ML1 3000 1/1 ( an) 1=21 1q � r�an ZG YU Ad (Number and St ) r Vum ran Street) 0o 14IteI jti q(772' 4l�U/(c DJ If-ra5 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a4d com) plete as required •law,and is prepared in accordance wi IC 6--1.1-5..5,,"R al Property Sales Disclosure Act". / er.� c % � i .� �t/(� / / Signature of Seller Signature of Seller • Norman C Reynolds 11/2/2018 Carlotta G Reynolds 11/2/2018 Printed Name of Seller Sign Date(MM/DD/rrr0 Printed Name of Seller Sian Date(MM/DD/Ynq F=,BUYER(SORANIBEE(S) kEP ICATIQN FQRIPRQREFRI WEIEDUCTIONSETUNRIE•1(ia .i p rH r7. , ` < - -___ --1 Nicholas L. Pierce Shavlon N. Pierce i Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 10669 East 100 South 10669 East 100 South NO\' 15 281g Address(Number and Street) Address(Number and Street) Oakland 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 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 10669 East 100 South ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County (XI ❑ 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 co below.Please see instructions for more information. 53o F P1 Not available in all counties.) 5/NumberAddres and me/ (lt/IC/.ttlll lei (IA- ro hJ giciA0 &-III 7) at,- 13- I3 -..loci _000. go -00,4 City,State ZIP Code County Primary property owner contact name E-mail