HomeMy WebLinkAboutHomestead_Rodriguez INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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
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Arthur R Nichols Charlene C Nichols
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
t-\IAn&v.iIIP, IIJ 'Ali
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 belief,is true,correct
and om ete as required by I v, d is prepared in accordance w'th IC 6-1.1-5.S,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
ArthurR Nichols ZI"IIn CharleneC Nichols bIellI61
Printed Name of Seller Sian Date(MM/DD/r rrr) Printed Name of Seller Sian Date(M,M/DOpri'Y)
yF:S;BUYER(5)%GRAN+TEE(S)9)PREICATION)FORoatOPERTYTAND EDUCTIONSIDENTIFY,ALI3TFEMSTHATr Alf r ems;,, ;rj
Rodney C. Rodriquez Debra G. Rodriquez
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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Address s(Number and Street) Address(Number and Street) r
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it};State,and ZIP DAle City,State,and ZIP
Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPL .&N
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YES NO CONDITION „YES NO CONDITION
I, ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead vto,
0,6
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System "-
residence,including county:
I24S 50 C ❑ 0S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Print? to n I U u1(a 1 0 Gib S an ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State YIP Code County
ID2.Does the buyer have a homestead in Indiana to be ❑ Ill 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Ill 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 I1 counties.)
Address(Number and Street) ,�..//��/J ,j� 1 ,7 '/
CiO;Smte ZlPCade ✓ -/ -/V - act. 60Td �- o0z7
County
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
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bifiled.) ^ � _
..�IrU_rl C ,I,CrIAc— V� tpC ,tvl( I!.ture oJBu}•r� QI/)II el Signature ofBuyer2/Spouse Cir I A.II JI
Number