HomeMy WebLinkAboutHomestead_Seals INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
IDAREPAR_ER[ _ z - -- - :Th __ny''1: ._T 7- .r f e -_ - _ a
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
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Jennifer A Nix Charles William Nix
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1037 W /20o S-
Address(Number and Street) Address(Num rand AO in
y/
na1Iisfodt, x,V �/763 9 f /l/
Telephone Number E-mail Telephone Number E-mail
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 6 .1-5.5,"R/e�al�Property Sales Disclosure Act".
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Si re of Seller S� / Signature of Seller
Je uferANix 2 lalp Charles William Nix /a 8
Printed Name of Seller Si Date(MM/DD/ Yii Printed Name of Seller Sign e(MM/DD/YYm'
fF), ERGS IGEANMEE S)i A'_PaincSTLONIFsmiliRQP,ERTIYjti:WDEDUCilitoo ti0Eivi Y6/ LA L EatiHAT/tYgP,RWE. . - ' 4 - ?
Paul G Seals JJ
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Buy LIMP as nveyaance documeen�_ it, • Buyer 2-Name as appears on conveyance do m�nt1 }J
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Addr�,"umber and St Jt) �, Iddress(Number and Street) DEC 3 LU16
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City,State,and ZIP Code City,State,and ZIP Code
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Telephone Number E-mail Telephone Number rril!W(�Q�r - ail
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THE SALES DISCLOSURE FORM ALIT USED TO APPLY FOR CERTAIN DEDUCTIONáL3. Hon1es
TY. IDENTIFY ALL 0 THAT APPLY.
YES NO CONDITION CONDITION
1.Will this property be the buyer's primaryresidence? Provide complete address of prima4.Solar Energy Hearin Cooling System
residence, cludi g county:
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Address/slumberat Sir t) ( t CCJ ///�y� '/ ❑ Q 6. Hydroelectric Power Device
p1-6u f L/i �� C ( tS1 ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,Stole ZIP Code County
❑ ❑ 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 county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) �/�J/'J�
City,State ZIP Code CountyL^'�eSI �0e� S 0V
Primary property owner contact name E-mail
Number License/ID/Other Vumber