HomeMy WebLinkAboutHomestead_Bieker INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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_D:'PREF'A'RF.R}` — • --I ---` - -- - - - —Tr 4.' - -- -
Kandace Rogers Closer
Preparer of the Sales Disclosure Form Tide
3101 N. Green River Road Suite 130 Columbia Title._
Address(Number and Street) Company
Evansville, IN 47715 812-471-8563 kandace(Wcolumbiatitleoroup.com
co;State,and ZIP Code Telephone Number E-mail
LE SELtiER(SW.01:$1 IiliORE9 _ - - - — .
Brian C Klump • Katherine M Klump
Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
151 F S -B•t-e 0$$ is v,-. L- - 3n 1 LS 1 I S-4-er•Le_ Q d Cot r jt., 1---3O1
Address(Number and Street) Address(Number and Street 1
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
. andcomplete as required by law,and is prepared in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act".
c • 1ySignature ofS le b
Adwp
Signature of Seller Signature of Seller � �
Brian C Klump 11/15/2018 Katherine M Klumo 11/15/2018
Print.• '• - ' Sion Date HH OD :nrtfiypG;� Sian Date HH ODVv/
Ut�iER(S)i/GR1Nr ( 1 A'PBL'1GATfOh'IFOR2PRQP.ERTdLT I. DUCTiIONS IDE\1T1 t LLdTEK 1._ P_ti i
K le N Bieker Alvssa L. '�
Bieker , I
••^-ems .• _s on conveyance document -_ame. . - rs on conveyance acumen!
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1004 Monica Court 1004 Monica Court NOV 2 8 2018
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR 8'.. . IDENTIFY ALL OFT r HAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary IL ❑ 3. Homestead
residence? Provide complete address of prim. . oar nergy Heating/Cooling System
residence,including county:
1004 Monica Court ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 7 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ IZ 7.Geothermal Energy Heating/Cooling Device
City,State Z/P Code County
❑ u( 2. Does the buyer have a homestead in Indiana to be ❑ El 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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)
ab- 1'6-36 -4b3 -000. 661-00°1 .
City,State ZIP Code County
Primary property owner contact name E-mail