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HomeMy WebLinkAboutHomestead_Phelps (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 __ L'O'lP,REPARERT .. ---__._____.__'-" __ _ —__—-----71 --- —- - Lynette Murray Processor - - Preparer of the Soles Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteam(@firstadvantagetitle.corn City,State,and ZIP Code Telephone Number E-mail CrSEL'•UER(S'IMOVNITQR(OI _ ---7' '^T - Marouise Fnterorise LLC _ SellerI-Name as appears on conveyance document j� Seller 2-Name as appears on conveyance document A/dres (Number nd tree) 369' c0 er1 Address(Number and Street) � ' ITU f»�v1 Lf tM7S E-mail Telephone Number E-mail— Under penalties of\terju r ereby certify t t t {'s Sales Disclosure,to the best of my knowledge and belief,is true,correct a compl teas require b law,a is pre ared i4t accordance-with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". bligrnmre teller - Signature of Seller f r Z 2 Printed Name of Seller Sign Date(HH/DO/YYY1) - Printed Name ofSeller Srpa Date(HH/DD/YYYY) (F1BUY --'. TT ' E(S)I.2ABPIs16AT NIF,ORDP„ROP-ERTpYh.TAX4DE1)UGTIONN lbENTi1F..YrAffis 1TIEfi�TSyyy:THATTAPP,LL1(- - -_- 'I ma Phelps L. 14'r 1-Name as appears on once document Buyer 2-Name as appears on[onveyan dacv n le . Address(Number and Street) Address(Number and Street) Pf i fVe+on ) KK1 4i G -10 FE$, 25 2042 E-mail Tele,h er te r - .4 + li` E-mail i-_,51, 1 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PERTY. IDENTIFY ALL OFT '�L� PPOYY nVr RNve,� Y� NO CONDITION I YES/ NO CONDITION ❑ 1.Will this property be the buyer's primary ( ❑ ❑ 3.Homestead residence? Provide complete address of primary NEI © 4.Solar Energy Heat'•:/Cooling System residence,including county: - �1 S . Psi lc e c"� - ❑ L✓1 5.Wind Power Device Address(Number and Street) ❑ g 6.Hydroelectric Power Device e11ill e+Dn_ IJ y-1610 r.,I.SdYI ❑ 0 7.Geothermal Energy Heating Cooling Device Ci,y,State ZIP-ode County — ❑ 2.Does the buyer have a homestead in Indiana to be El 28• Is this property a residential rental property? vacated for this residence? If yes,provide 0 Z 9.Would you like to receive tax statements for this complete address of residence being vacated, ' ? Provide contact information including county: / below.Please see instruct? r more information. / Not available in all Counties,) Address(Number and Street) ^1)_ 0 + -304 000` L411 -0 • City,State ZIP Code County rtV, U`- Primary property owner co ,. .. Email Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and e ief,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: Number License/ID/Other Number