HomeMy WebLinkAboutHomestead_Beasley (3) INDIANA SALES DISCLOSURE FORM SDF ID _ Page 2
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title r
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Robert E.Brittingham
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
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TreerbegionneSi`,_ 1 iitl Address(Number and Street)
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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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature ofSeller .- /7 � (1 0 Signature ofSeller •
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Robert E.Brittingham I L/—
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MMM/DDjYYYY)
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Joshua A.Beasley
VSn e oncedocumen Buyer 2-Name as appears on conveyance document
ess um eran ee Address(Number and Street)
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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.JUi 06 LOIO
YES NOI CONDITION is' NO CONDITIO` �C i -
[t ❑ 1.Will this property be the buyer's primary 4 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary , - .- r eating/Cooling System
residence,including county: El/ 0 5.Wind Power Device
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Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
7648 ,4, J/a_'4_tc-) ,GeV ❑, IZI , 7.Geothermal Energy Heating/Cooling Device
City,State7,lp Code /
01� County
❑ Z 8.Is this property a residential rental property? •
❑ ❑ 2.Does the buyer have a homestead in Indiana to be /u 0 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information •
complete address of residence being vacated, below.Please see instructions for more information.
including county:
Not available in al
Address(Number and Street) Joshua A.Beasley —1.8-24-202-000. 740-026
City,State ZIP Code County Primary property owner contact name- - F-
Number License/ID/Other Number