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HomeMy WebLinkAboutHomestead_Bartley (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARER r : : ` v iat Pam''^`, ra _,;,--firs .. .:-.. �... _rr; x-K�-, ...,,,.,..;�N �.. �,., �. ��'`_3_ �4ta`.i''�_`+�3`Sar. `. .. -*"z.. E Leisa Billings Processor Preparer of the Sales Disclosure Form Title 530 Frederica Street Foreman Watson Land Title Addres(h'umber and Street) • Company Owensboro KY 42301 270-689-2424 owensboro(a)tw-It.com Ciry,State,and ZIP Cade Telephone Number E-mail SE.tSEI:[ER(Syjcitai TOR(spte ltak3 Tta.a ' ;r ,» d" SM ,L3u.;' -"s;' ice-- 0140tIf s l William A Gordon Cathy R fonder Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document /Zyf�„/ r /So 5 ;S O has+ 5f - RA ee al Address(Number and Street) Address(Number and Street) •ai.e.-.4,1Q 6/Tr' /42 4/ 6� 60 t<Nyteri-cr. i4) 147(D7D City,Stare,and ZIP Code City,State,and ZIP Code E-mail Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn t required bynd is prepared in accordance with IC 6-1.1-5.5 "Real Property Sales Disclosure Act". Signature of Seller '„ r. Signors (Seller ^"a William A. Gordon N��-C/_/1 Cath R,Ccnder / CU i Primed Nome of Seller S•n Date(M ( D/fl'fl rated Nome of Seger 1 D ( F: NTEE(SV APPAICATION.EO'sEROP, TXTAXD UCTIONS°'ArIDENTIEY'a MTEM •kAtrr .Pf1 ia. ,tm Tro M. I- Zabrina Bartley Buyer l-Name as a• ••-•h conveyance document -- - • me as afirsan conveyance documenjAN 2019 3 2567 East State Route 64 2567 East State Route 64 L IJ Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton. IN 47670 - LfIo It YES NO CONnmON NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ fj 4.Solar Ener 'H ng/Cooling System residence,including county: 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ❑ 0 7. Geothermal Energy Heating/Cooling Device City,State ZIP rode County ❑ 02.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 ❑ g 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: ow.Please see instruction are information. Not available in all counties.) Address(Number and Street) �rb�„l z I J 1 y-r�oo col .8 � r J--o • - - City,State ZIP Cade County ` _I Rlmyry property owner contact name Small