HomeMy WebLinkAboutHomestead_Parker (3) INDIANA SALES DISCLOSURE FORM SDFID: Paget
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�DEP,REPA1tER .a'+'��i.5rwvaEi�" Fcn�r '��fr'c'4�f. ` � � � "``..s� —_ ��
Tiffany Hoon Closer
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (812)759-5555 closings®reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
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Shirley Ann Farmer,Trustee of the Shirley Ann Farmer Trust
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
505 N.Ninth Ave.
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639
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".
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Si gnaw Seller ;7� r Signatureopener
Shirley Ann Farmer,Trustee 7
Printed Name of Seller Sign Date(Mk/DD/YYn) Printed Name of Seller Sign Date(M.N/DDfYr)
€E=Bf7YER(31'/GRANTEEISlE"LAP.RL+ICATIONIFORIPROEER1ArmTA,tibEDUCTIONS`iIDENTIEVABOFFEIv1S:THATJAP.P.LY
Carl D.Parker ) Teressa A.Parker HO110nv Al N)npO NOCOID
1,1'ameasappeari onconveyance document Buyer I-Name as appears on conveyance do
1727 W.Brumfield Ave. 1727 W.Brumfield Ave.
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton, IN 47670 Rini. •
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,9 H Id E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO rDtTY IDENTWFY-ALL OF THOSE THAT APPLY. t7
YES NO CONDmON NO CONDn70N
[�❑ 1.Will this property be the buyer's primary �4❑ 3.Homestead
residence? Provide complete address of primary ®—g-SolyrE rgyHeating/Cooling System
residence,including county: ❑ [] 5.Wind Power Device
505 S 9th Ave Unit 1
Address(Number and Street)
0 El 6.Hydroelectric Power Device
Haubstadt,)N 47639 Gibson ❑ El .Geothermal Energy Heating/Cooling Device
ary,State z 'code County ❑ l;d" 8. Is this property a residential rental property?
0 II 2.Does the buyer have a homestead in Indiana to be ❑ 0 9,Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below. Pleasesee instructions for more information.
including county: Not available in all o ties)
Addres(Numbaand saeer) (2 6—2 3—06—200-000.860-009
Op.,State ZIP Code County Primary property owner contact name E-mail