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HomeMy WebLinkAboutHomestead_Edwards Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 %D f'-REPARER 2. i fn _ a`ts "v.M•_: � -7 17....r 0SW '-« s sue"47-4 . _Ti .- 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 City,State,and ZIP Code Telephone Number I E-mail I I gEsSELMER(S GW1N�TiOR SS l ;u , '?• t`: ''. _ _ . K7 Aim .1 Martin Carrie Martin Seller I-Name as appears on conveyance document Seller 2-Name as pears on conveyance document -57v7 4i - 9572 5 , Address(Number and Street) Address(N n TO S eet y r ' I / I `c.Xi25t,///e -7-rA-- Y766 City,State.and ZIP Code City,S .d ZIP 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 law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ��' 3IllIICI /C(.�,c,t.tt �_it( +1 nilli' S. turcZeil/f Signature of Seller artin Carrie Martin rned Name of Seller Sion Date(H.N/DDJYYYY) Printed Name of Seller Sign Date DW/DD/YYYI) 2FF RU,YIER(S %GRANTEE I,AP,RtiGI4TIOS4F.01 PROPERTYTr1 DEDUCT!IONSIDENT•IFYr:iIRMIIEMSrTHi i, v Lit Peter J Edwards Jr. _ Isabel C Edwards � ' Buyer-Name as ap con veynn ocume Buyer 2-Name as appears on conveyance document �//('/t'y��Jq t , c�1 I D1 9 Address N ber acdSpi / /-�f Address(Num an sn set et ter I Ciry•,Sate, FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES CONDITION IYES NO CONDITION 27 0 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Cleating/Cooling System C-J 2 resi0 _ en pci dj g cotylty / jZt Ol - ❑ 0S.Wind Power Device Ad/OssiNumberandSte cI 1 1 q7(6. ❑ ❑ 6.Hydroelectric Power Device LLL& S/t I e , /ll ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code 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 ❑ 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 ZIP Code Count' a b '1—1 - I a -a03 -ODD ' ols-Oda Primary property owner contact name E-mail License/ID/Other Number Number License/ID/Other Number