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HomeMy WebLinkAboutHomestead_Thornley INDIANA SALES DISCLOSURE FORM . SDF ID: - Page 2 iS T nr R =• C:tar;^ .-� -_.^.-1714 .^r�. ..-.,_c-sr x"3 max- n w--o c..� ;D:RREP,ARERo-,, a.rh.tiw�itoststxkyir�s�'�'. < ..i�-..?'3 .. e_E.' z�,c�i°T-_m ��_: �'��3z �. ,.t.'"_:1°+� _'aa : fe¢+i. IANA 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 812-468-8485 City,State.and ZIP Code Telephone farm i r E-mail xE$LI ER sp,rilIIVTOR'(S)birg-i a ` '', x ::LF a-i r Cc:-:7e7= i F 4ta—i_",t t '7,7;z: r 477;:rTti g__. Randall H Rahman Julia A Rahman Seller l-Name as appears on cony nce doe t nt Seller 2-Name as appears on conveyance document Le qn3 fl 7 (/) Address(Num i or Street) �^`)/ . l 6ce`.' Address(Aumber and Street) City,State,and ZIP Code ( City State..and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and b ief,is true,corre t atu lete as requir/e�/d by 11�/may and is prepared in accordance with IC 6-1.1- ,"Rea cop y a s I �clloossu/rte�Actt�". Signature of Seller Signature of Seller Randall H Rahman f/9 Julia A. Rahma Printed Name of Seller Sian Date(M.M/On/IYY1) Printed Name ofSeller I Sian Date(MM/Do/1-YYY) 'Ii BUYER(S)/GRANTEE(Sj;'�APREICATION;EogeROP,ERTYTAXtPEDUCTIONSIIDENT NALItITEMSyTHAT A IP,EKt`_, _ ..A 2: e Addle J.Thornley , Buyer N a asa purrs on o vevonce dot: t Buyer 2-Name as appears on cony'nce 6 04 6, Main lisl'Itt 4,! cppess Number anp StreFtli) / - f �I�,�7 Address(Number and OD: E-mail Telephone Number E.rnail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF 0 e 1 Y. YES NO CONDITION I YES NO CO:SInbN COUdTY AUDITOR 1 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary © 4.Solar Energy Heating/Cooling System ` y1I K f Srp is se,including county: ((1U/Q ❑ ❑✓ S.Wind Power Device 'dress(h'u lu randStreet)I - 1 'I.vo b /�yi ❑ El 6.Hydroelectric Power Device All Code 1t�11n N `"r "' .V J-(/' 4 ❑ ❑ 7.Geothermal Energy Heating/Cooling Device n,Mate IP C County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ � 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 ZIP Code county a6-O$-oi-yoo-ob3. &alp) - 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/1D/Other Number -