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HomeMy WebLinkAboutHomestead_Atkins INDIANASALESDISCLOSUREFORM SDFID: - Page2 '!DgP,REPAREI —73�- iegvAi' ,2770. t' , ';`OW:',n:*7 cc� r.cw,: •_ . .._. "._. .. ., t ._. THOMAS L.MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form Title 101 PLAZA EAST BLVD., STE. 102 TRUE TITLE SERVICE, LLC Address(Number and Street) Company EVANSVILLE, IN 47715 City,State,and ZIP Code Telephone Number E-malt • 2019 CASTLE, LLC Seller I-Name as appears an conveyance document Seller,-Nome as appears on conveyance document 333 Westchester Ave,W Bldg.,Ste W2100 Address(Number and Street) Address(Number and Street) White Plains,NY 1061 ' State and ZIP Code Stott and ZIP Code Telephone Number. Telephone Number E-mail Under pen. a es of p+ ju ,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and coin$ ete as re$ui t t y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". aSI• Slgmture of Seller 1 II, N.L I f ynanooe12. 0) / I-) / 2019 Printed Name of Seller I• - Sign Date(MM/DDATrI) Printed Name of Seller Sign Date(MH/DO/eril) bFM RAM. I:ZiAP.P.LIICA'.IONIEORIP.ROP.ERTAWFAXIDEDUCTION551DENTIEYIAELNIFEMS0 A . fir= --- 1 RYSTAL ATICIN RICHARD MCELLHINEY jj(0lj � • 1-Name asyy nce document Buyer 2-Name as appears on conveyance document SOZTNorthlake Drive 5021 Northlake Drive Address(Number and Street) Address(Number and Street) MAR 2 9 2019 BSON COUNTY AUDITORd THE SA LES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE ENTIFY ALL 0 THAT APPLY.ES NO CONDITION NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ng/Cooling System residence,including county: D p S.Wind Power Device 214 S. Division ST Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Francisco IN 47649 Gibson ❑ 0/ 7.Geothermal Energy Heating/Cooling Device city state Prade County ❑ 8.Is this property a residential rental property? ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 2 9.Would you like to receive tax statements for this vacated for this residence? Ifyes,provide 'de contact information complete address of residence being vacated, below Please see instructions for mo emotion. including county: Not available in all counties.) Address(Number and Street) 2.6 -IS ^L0 -MI-00O ,_ 16-7-Oo RYEKLS & RICHARD MCELLHINEY Ory,State ZIP Code County Primary property owner contact name mall Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct