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HomeMy WebLinkAboutHomestead_Moore r i` ,LANA SALES DISCLOSURE FORM SDF ID: Page 2 -r,i) PREPARER , , ' LANA C. HARPER CLOSER Preparer of the Sales Disclosure Form Title 5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE, IN 47715 E-mail '.E,SELLMSARANTOR(SW.4 : k x tx , Estate of Darvin H. Lamey.deceased Estate of Darvin H. Lamey. deceased Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document Address(Number and Street) Address(Number an t) 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 bylaw,,'`an�d is prepared in accordance with IC 6-1.1-5.5,"Re Pro rty Sales Disclosure Act". Signature of Seller er (/ q+ Signature of Seller Raymond L Lamey. as Co-Personal Rep. r 1 Ramona Lamey.as Co-Personal Re - Printed Name o Seller Sig a e MM/DD/YYYY) Printed Name of Sellerq to((M(DD/YYYY) :E BUYER(S)/OW,I EE(S) ,APPLICATION FOR PROPERTY TAXDEDUCTIONS'-'IDENTIFY,ALL. T,Aq,_ Rebecca K. Moore Buyer ame as appe son con eyance ocume l . (..Li Buyer 2-Name as appears on conveyance dg a 5nt1 9 2019 Address 7uierandS7,et) C Address(Number and Street) City,State,and 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 APPLY. YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary "L ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System re d en- -inc g u / ❑ Z 5.Wind Power Device Address(N( /eranpstt LJz (f ✓ VLO / C ❑ 6.Hydroelectric Powe r Device ay., / ❑ Z 7.Geothermal Energy Heating/Cooling Device City,Stat ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8.Is this property a residential rental property? i vacated for this residence? If yes,provide ❑ Z 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) Iv7 City,State ZIP Code County 26 '-23 L —400 �O0 3 _poi , Primary property owner contact name E-mail Number License/ID/Other Number