HomeMy WebLinkAboutHomestead_Cincirpini INDIANA SALES DISCLOSURE FORM SDFID: Page2
j.D?iP,RERARER -� '177f-‘-'7..r.--7-rr T - T_ *— _�
Deena Hendrickson Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closings(rhreeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Andrew McClanahan
Seller]-Name as appears on conveyance document Seller I-Name as appears on conveyance document
604 S Lincoln
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
.
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 co plete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Mynatur Seller Signature of Seller
Andrew McClanahan 117 I r/
1]
Printed Name of Seller I DateIMM/DD/YYYF) Printed Name of Seller Sign Date(MM/PD/YYYY)
LF. RUYER(SWGRAN,,TiEEIS)WABP.L'ICATIONlEORERROP-ERWILITAXtDEDUGTiIONSJIDENTIEWALMIFEMSnTiHAVARP.LYP.---- - -- - -
Justin T. Cincirpini Jessica N. Cincirpini
Buyer]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1301 5 200\V 1301 5 200 \V
Address(Number and Sweet) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT en.
- YES /0 CONDITION /YES /NO CONDITION `S
Er 1.Will this property be the buyer's primary !K ❑ 3. Homestead residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/[.�ob11C lc n3SP
residence,including county: ❑ El 5.Wind Power Device
604 S Lincoln �[
— Address(Number and Street) ❑ Ei 6. Hydroelectric Power Et aea- {;
Fort Branch, IN 47648 Gibson ❑ �El-,/a J�.Geothermal En �3 attiflgf1 o(fnaInt -daR
Ciry,Statea County ❑ L� -Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
ncluding county: below. Please see instructions for more information.
iNot a( DOD e in all counties.)n
Address(Number and Street) (Q I (,9-1 q-jo I- .�v 1 eQft,
Justin T. uincirpini Jessica N.Cincirpini
City,State ZIP Code County Primary property owner contact name E-mail
Under penalties of perjury,(hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct