HomeMy WebLinkAboutHomestead_Becht INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
affiBREl?ARER =irg , - li �,,u. - <e- z .. � .n,..3 ` :
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street). ... _:.• . . .
City,State,and ZIP Code Telephone Number E-mail
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Jeremy D.Adler Robyn D.Adler • .
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
2829 Brink Drive 2829 Brink Drive
Address(Number and Street) Address(Number and Street)
Evansville,IN 47725 Evansville,IN 47725
Telephone Number E-mail
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 of er Signature 61 Seller
Jeremy D.Adler 7/0- C) Robyn D.Adler `7/8/20
Printed Name of Seller Sign Date MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
Bll fiEl if G?VAVI.t ` Itg- Mal I made aEER'CSt'ettatY 0 MYRi ittAti rE'I'1 I t§tf=I T t Ely -' = ltMgMagN
David N.Becht Constanza R.Becht
e as appears on conveyance doe t Buyer 2-Name as appears on conveyance document
PO IjOk RI cum' 3500 Mariner Dr
Address(Number and Street) Address(Number and Street)
Estanss ille 42211 T I/S f
7t)70
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P RF1-IDENFH AL THOSE THAT APP .
YES . NO CONDITION YES NO CONDITION
Q/ ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead SON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑ RI 5.Wind Power Device
2509E Classic Dr
Address(Number and Street) ❑ EI 6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson ❑ E( 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County El EK 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 1a 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide evia_ - il? Provide contact information
complete address of residence being vacated,
including county: below.Please see instruction ore information.
Not available in all counties.)
Address(Number and Street) 6-2 3-16-400-001. 847-02 4
'd N.Becht eons .