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HomeMy WebLinkAboutHomestead_Englehardt (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER LANA C. HARPER CLOSER Preparer of the Sales Disclosure Form Title 5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE. IN 47715 812-468-8485 City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTO{S) - . - - . _ • - - . Joe A Bradley -Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ll / S2, S 55o E Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,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". ©nature ofSeelle /, _p Signature of Seller Ice A Bradley v /F U ji Printed Name of Seller Sian Date(MM/0a/YYIY) Printed Name of Seller aLe(MM/DD/ITY11 F.BUYER(S)/GRANTS?S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITS TIA APP 'Dakota Englehardt ) ,-Aurae as s on t v gDcpdpCume ) Buyer2-Name as appears on tnnveyancedxNppt94 AlN , ( I)t , (j YI/V 5 201 ress(N beraM [) • 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. Y NO CONDITION SN I YES NO CONDITION ❑ 1.Will this property be the buyer's primary K ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residg i ludi{ �aunty: 0 //1p n/ �y ❑ ❑✓ S.Wind Power Device rrJJNgmaer ssttrariA/J� // //y�vg c/// - __ ❑ 0 6. Hydroelectric Power Device thy,St t�PCade /,/ `�" County ❑ 0 7.Geothermal Energy Heating/Cooling Device ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ID 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ LA 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) .6 - /8-,3 - LID a -00o-- C,..i.8 -o .3.6. City,State ZIP Code County Primary property owner contact name E-mail