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HomeMy WebLinkAboutHomestead_Perry (23) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _D::P,REPARER! .• p-r y fir". ' ..{i "!t"-, S `t -`•`' ° .D.'•^- tr.BS . `.�. `.4��-trrt-.Sh-'§r3':= T -><- - -s-r-t .a,.i�ce. i,d_37_2n 1 J) 'ti y- vV` s. , s st"st Dana Belcher Processor Preparer of the Sales Disclosure Form Title 2301 N. Burkhardt Road First Advantage Title Address(Number and Street) Company Evansville. IN 47715 ( E-mail :E-SELLE{i(SZ/.GRANTONg)Isz, U=,' K:a —'w r2-3: r .t. •%w ? V,_JT".`.I.1S&_P . C;s, ri. t "Wit Todd A Rogers Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document '/6 GS/AQtQT \[b atva Addressd�r�``(Number and Street) Address(Number and Street) f•uTC HEL L i eriv tf -qt/6 City,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c tplete s equired by law,and is prepared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act". rgnature of Se 1 1 Signature of Seller To Rafters 1Kg l ��( Med Name of Seller I Sian HM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYI) iaEcAfnRop __r r "•V Zachary T. Perry }� ' A BuyeS7Nti lepsG Gar on cnveyance Tent n '< Buyer 2-Name as appears on conveyancg7D('un nt(p( 4 r rU�OOyy /1,�, Vat'^! Tent V Addrs (Num rand Street) (/"2 -� Address(Number and Street) GAF( ',It"',It" / %N ✓ JUN 1 9 91119 \toCity, State, ) E-mail Telephone Number a Yy E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCT! FOR THIS PROPERTY. IDENTIFY ALL OFTI@ig8enJYUNTY AliDirOR CONDITION /I YES NO CONDITION Will this property be the buyer' ma y/ D. 3.Homestead resideZtm?—RFev- e e address of rim, ❑ © 4,Solar Energy Heating/Cooling System j i 7 rLcidence�//II(tot �un � ❑�n ✓ S.WindPower Device Address benandStreet) n ) ❑ ❑ 6.Hydroelectric Power Device i' IV (74L•�t) • Lip SaleZIPC de r� fa n y ❑ 0 7.Geothermal Energy Heating/Cooling Device ❑ ❑ 2.Does the buyerhave a homestead in Indiana to ❑ ❑✓ 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 informati i. Not available in all counties.) Address(Number and Street) y� �\- ties.(7Q City State ZIP Code 1 - a- d ' - 02- - " Il_ of g County Primary property owner contact name Email Number License/ID/Other Number