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HomeMy WebLinkAboutHomestead_Bye INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _D:;P,REPARER__ .. .' — .._ o:.. . - _� , ._ - - . ' 17rr � — LANA C. HARPER CLOSER Preparer of the Sales Disclosure Form Title 5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE, IN 47715 I 812-468-8485 I City,State,and ZIP Code I I Telephone Number 1 I E-mail E?SELCER(Sy_GRANIOROE : ,- -- - ___,..-- • — " L_._:_L1—X --, __ Shelbey Brittingham Troy Rrittingham Seller I-Name as appears on conveyance document Seller a asappea on conveyance document _l DLI e Is' St Address(Number and Street) Numbers � Monroe Gtt _, TN, y05s� I i \iy._.,\___.; E-mail 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 w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 5�ur l'er Siynamrr af5el Signature of Seller Shelhey Rrittingham 3-L2 -19 Sham 3 -te 1 7 Printed Name of Seller Sian Date(M.N/DD/Ym7 Printed Name of Seller Sign Date(M.N/OO/)Th) fE.';BUYiER GRANITEEU=.APP:LCATIONIFOR•PROP,ERTIY-Tr1X.DEDUCTIONS_4DEN,T,IEWAEVREh1�t. -ATAPIRVA�- '- --::`. William W. Bye Jamie L. Bve i' Buyer I-Name as appc s on conveyance docurne Buyer'o Nome as ppears on conveyanc um /to771.)«ri%J �i - 1 ss(Number and Street) rinofon Jt4 47C>97(� d • - (Numb r n ne 2019 - ,$ E-mail Telephone Number G)RC E-mail THE E SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY UN 1 Y AUDITOR YES CONDITION YES NO CONDITION El1.Will this property be the buyer's primary ems❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: t. ❑ ❑✓ Wind d Power Device Address(Number and Street) ❑ { 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP County ❑ 2.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 ❑ IZ 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.) Address(Number and Street) City.State ZIPCode County scar b5-33-IOo-cnY• Do4-oa '7 Primary property owner contact name E-mail License/ID/Other Number Number License/ID/Other Number