HomeMy WebLinkAboutHomestead_Montgomery (3) INDIANA SALES DISCLOSURE FORM SDF ID: ' Page 2
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Lynette Murray Processor
Preparer of the Sales Disclosure Form ' Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) - 'Company
Evansville, IN 47715
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Betty I ou Harper
Seller l5N a asuppears m
a conveyance document Seller 2-Name us appears conveyance docuent
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Ad ress(Number and Street) .... Address(Number and Street)
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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�tplete.�a/s require,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signatureo Iler Signature of Seller
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Betty Lou aroer �/
Printed Namea Seller Sian Date MM DO Sien Date(la/Yin/ M'yr) Printed NaNameo Seller -
AfOI YEPTS- GRANTEEIS)'• P,BL'ICATION;FOR,PROPERTY�TaIDEDUCTIONS lDEN,TIFY!ALE.ITEMS THAVAP,PL} :-'' - -' j
Martin R Montgomery
Buyer I-Name as appears n conveyance document Buyer 2-,Name as appears on conveyance acumen
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A dress(Number and Street) Address(Number and Street)
l land r,-iyi M Li-76,(0aI q��z ry .
E-mail Telephone Number Entail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCtIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPL OU,v a�
YES NO CONDITION I YES NO CONDITION YZ+lair%,
V ❑ 1.Will this property he the buyer's primary I ❑ 3. Homestead Op
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
�,� _ 0resid ncc,including county:
�fGr ❑ 0S.Wind Power Device
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A ress(NumberandS.:=et) / _ ❑ ❑✓ 6. Hydroelectric Power Device
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v 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code eounry
❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ ❑� 8 Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ II 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. Pleaseseeinstructio�n)sformoleinformation.
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ress(Number and Street` v� `f�`�
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Cu;,State ZIP Cnde Counts t-
Prbnary property owner contact name E-mail
License/ID/Other Number