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Home My WebLink AboutHomestead_Buckman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 LD!1P,REPARER?` ':;_ :_ . • . - THOMAS L. MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form Title 101 PLAZA EAST BLVD.. STE. 102 TRUE TITLE SERVICE. LLC Address(Number and Street) Company EVANSVILLE, IN 47715 812.402.6555 closines tni truetitlein.com City,State,and ZIP Code Telephone Number E-mail RANDALL E. THOMAS Seller I-Name as appears on conveyance document Seller 1-Nome as appears on conveyance document 1256 S 200 W Address(Number and Street) Address(Number and Street) Princeton,IN 47670 State.and ZIP Code State,and ZIP Code 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 IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / Signature of Seller Signature of Seller RANDALL E. THOMAS 11 /pi 1 /2019 Printed Name of Seller Sign to(MM/DD/YYIY) Printed Name of Seller Sign Date(MM/DD/YYYr) LE'BUYER6SV/GRANTEE(SlC='ABP.LICATIONEEOff1PROP.ER-TtY6TAXZDEDUGTIONSJ DENTIF_YMBL4ITEMSLTHAil AEREY4___L_> .__._ ,_ - KYLE ALLAN BUCKMAN Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d r-^q' 525 S.Runnymeade Avenue .y !i Address(Number and Street) Address(Number and Street) Jt„ Evansville,IN 47714 E-mail Telephone Number ail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY'ALL OF THOSE THAT APP -� r°'tY CiV ,;. YES NO CONDITION NO CONDITION GtBSO [� ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System residence,including county: ❑ p 5.Wind Power Device — 1256 S 200 W Address(Number and Sweet) ❑ p 6. Hydroelectric Power Device Princeton. IN 47670 Gibson ❑ p 7.Geothermal Energy Heating/Cooling Device cuysm�z code County Ti 8 Is this property a residential rental property? ❑ 2. Does the buyer have a homestead in Indiana to be 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.) r-�� p Address(Number and Street) a 42-l'-j`1- 4 t0D-W I - (C O - KYLE ALLAN BUCKMAN O)7. City,Slate 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 and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is Number License/ID/Other Number —