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HomeMy WebLinkAboutHomestead_Crossfield INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 1D. 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 E.SELEER(S)7GRANTOR(S) :';''- + :fir= a 7_•, g - '- _ ,`_i:: : JTh _ 4-7.-' -:�' Ronald J Grimes Dorothy N Grimes Seller I-Name ys appearso onvexance document Seller 2-Name as appears on conveyanre document i�D a r to.r Cour} fX// Address(Number and Street) Address(Num a Stree) 1 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and com to as r quired by law,and is prepared in accordance wit(¢-K 6-1.1-5.5,"Real P erty Sales Disclosure Act". �(/ l�-a mot//�-Cavz��}- h/" `0.�1� `1 ' .._ales Di " Signature of Seller Signature o(Seller Ronald J Grimes / n2tJ—I P Dorothy N Grimes 1 a/a$/adOl Printed Name of Seller Sian Date(M.MI/DD/IYYY) Printed Name of Seller Sian Date(MM/Da/YYYY) F'BUXER(S)/GRANTEF.(S)FAP.PhI'GATION-FOR•P.ROP6RTY__TAXDEDUCTIONS4DENTIFYAGIY1TEMS,THi1T'APPL'Y;i. _,`,.. :•- Dale L Crossfield Burl-,Vame,py_oppeo ryanedocum I Buyer 2-Name as appears an conveyance document Add refs(Numb rand eet) Address(Number and Street) tit, lid i 1/7(tor 3C City,State an ZPCode City,State,and ZIP Code � E-mail Telephone Number E-mail THE SALES DI CLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES VD CONDITION I YES NO CONDITION ❑ 1.Will this property be the buyer's primary 3.HomesteadJAN 7 2019 residence? Provide complete address of primary ❑ © 4.Solar Filer eating C inpSvstem m --re enc , ldina<ou l/ 5 ❑ ❑✓ S.Wind Pow Add (Nu u�a eet)� , 4 /( l c7� ❑ 6.Hyt�i' t�Rc t4WIYeNPITOR l/t, /J- / V ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code / County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this proper[}'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 a-mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) an -`t0. fib( City State ZIP Code County ��- Primary property owner contact name E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct Number License/ID/Other Number