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HomeMy WebLinkAboutHomestead_Fischer INDIANA SALES DISCLOSURE FORM SDF ID: Page.2 PRE F,. s t ` .0 PARER W h, _ �`' ' 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 City,State,and ZIP Code Telephone Number E-mail _E�SELLER[S)'/GRANTOR(S,)? ., : } >. .- _ -. --!,,,-"I- "'7._,_F _s >,,._: Andrew L.Anderson Jamie L Anderson Seller 1-Name as appears on conveyance document Seller sap n Fonve nc oc ment aoW �U T�,�b��( S f P,C • :30,0 22L( 2O Name ( r - , P 0 • Pax 2lLI �A,ddress(Numberand Street) CII-C'Y'1, t)l 1 r I /t v P.l.+Se(c l e � 76CSr 1 )e T q---/(oG5 E-mail Under penalties of perjury,I hereby certify that this Sales Disclo re,to the best of my knowledge and belief,is true,correct an plete as requ• b w,and is prepared in accordant w h C 6-1.1-5 5,"Real rop Sale Disclosure Act". Signature of Seller S gnature of Seller - Andrew L.Anderson II111 161 Jamie L.Anderson Printed Name of Seller Sign Date(MM/ D/YYYY) Printed Name of Seller _ Sign Date(M DD F.BUYER(S3/GRANTEE(S)-:APPLICAT,ION,FOR PROPERTY TAX DEDUCTIONS ;.IDENTIFY ALL•ITEMS THATAPj IX, '_". , ., CJordan RT'Fischer I Heather D. Fischer 1 - Bu er'7�Name as ton son thou ce ocur Buyer 2-Name as appears on conveyance docum , O�,� , — A dress(Number and Street i I � Address(Number and Street) I` it\ irl City,State, FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APP Y YES NO CONDITION 1 YES NO CONDITION JON CO G`� ler ❑ 1.Will this property be the buyer's primary C_s❑� Ho� m��estead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System 1 g-9/p (,(J rcenc�dingfsounty: j ❑ 0 5.Wind Power Device r dr�es `�a b nod ,elf) r g -� Gih &n ❑ Z 6•Hydroelectric Power Device` til I �/ Ti2 I f `� "[l W� ❑ IZ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County X ❑ 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 El 0 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information i luding county: below.Please see instructions for more information. U3y0 ��i,aI'd DV, Not available in all counties.) Address(Number and Street _ d t 0 be t 11 �/�(p.3U poi ,I" Z Lr/-z-�27iZoc�� 160 m Z w t7 City,State PCC County Primary property owner contact name E-mail