Homestead_Robinson 1
INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Kristina Watson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Alit Saliju Florent Saliju
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
306 S. Eastview St. 306 S. Eastview St.
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
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".
Y4- /-,,ek-t._. )1\ 1-3 c/o - L,1
Signature of Seller Signature of Seller♦
Alit Saliju 3/16/2020 Florent Saliju VV 3/16/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. B TEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
onald L. R • Jody A. Robinson .
e - e as appears on conveyance document Buyer 2-Name as appears on cony c dd�umen` ' in
e
501 E.Strain St. 501 E. Strain St. 1.4/
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648 MAR 1 8 2020
lk-F TiMI, Pi
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIO OR THIS PROPERTY. (DENT TYPF CM• To15-'FOR
YE NO CONDITION)( 1
Y $ NO CONDITION
El
1. Will this property be the buyer's primary 0 3. Homestead
residence? Provide complete address of primary p 4. SIIlar nergy Heating/Cooling System
residence, including county:
0 0 5. Wind Power Device
306 S Eastview St. 0 II 6. Hydroelectric Power Device
Address(Number
(Number and Street)
Fort Branch, IN 47648 1 Gibson' ❑ Q 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County 0 2 8. Is this property a residential rental property?
❑ ‘/\ 2. Does the buyer have a homestead in Indiana to be 0 2 9. Would you like to receive tax statements for this
• vacated for this residence? If yes, provide complete prope is efteil? ' e contact information
address of residence being vacated, including county: •e ow. Please see instructions re information.
Not available in all counties.)
Address(Number and Street)
it
/ -