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HomeMy WebLinkAboutHomestead_Dudley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;D PREPARER'; : .. _ - 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 E SELLE.R(S)/GRANTO:R(S)" Ashley N Mowery f/k/a Ashley Nicole Hume Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document Address(Number and Street) Address(Number and Street) ' E-mail Telephone Number E-mail Under penalties of p ' ry,I hereby certify that this Sales isclosure,to the best of my knowledge and belief,is true,correct sand cpm lete as quired by law,and is prepared in accord nce with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". -- , ___Signatu ofSeller __. .._......_-- --- - -- -...-.-._.... .Signature of Seller __._.... ..-.._-.._- - As eyNMowery .3(6d7tzo P inted Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) � • ,YYER(S)/GR_ANTEE(S) .APPLICATION:FO,R PROPERTY T'5 E`EDUCTIONS L I IDENTIFY AL . ,i APPLY PPLY , Brooklyn Rae Dudley •-. Buyer I-Name as appears on conveyance document Buyer 2-Name as e rs kco nce docmnen` ZD vu De1AwGIIP ci- Address(Number and Street) Address(Number and �� Tri�1(�-t-on,11Q 97 I M • mail Te<, one Number • N G E-r•ail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DE'. CTIONS FORTH : 'ROPERTY. IDENTIFY ALLQ E THAT APPLY. ES NO CONDITION YES NO CONDITIONC7 ❑ 1.Will this property be the buye '• primary ❑ 3.Homestead • residence? Provide com. • e address of pri ,.ry ❑ © 4.Solar Energy Heating/Cooling System residence,includi•: ounty: �06 w __ f 5,1. ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric•,Power Device F. I n(eily) i i yfl G 1 O G1 . Sim ❑ 0 7.Geothermal Energy Heating/Cooling Device City, tate ZIP Code County ❑ 2.Does the buyer have a homestead in 1 diana to be ❑ ❑� 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 7 9.Would you like to receive tax statements for this complete address of residence being acated, property via e-mail?(Provide contact infor• ation including county: below.Please see instructions for more in .rmation. Not available in all counties.) Address(Number and Street) pa A '^ City,State ZIP Code • my Primary -.. 1'�`--k" -5®' '" oO - le g-(Oag - Primary property owner contact name E-mail Number License/ID/Other Number