HomeMy WebLinkAboutHomestead_Kolb-Blume INDIANA�•� SALES DISCLOSURE FORM SDF ID: Page 2
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Tim Shea Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (
David A. Slade
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
883 W McCarty Road 883 W McCarty Road
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
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".
Signature. Seller v, (I 3t 4.1:71E Signature of Seller
David A.Slad \ �JU`• A I
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
t..F BUYEItrsilir R IfftaM APPLICATION coin=ftOts,'El TAX DEDUCwTt0NS IDlN'TN Y4ALLx1 'EIvISrTHATRAP:PLY_.tI:.> ._. ..MW
Kelsey R.Kolb-Blume Aaron C.Alkire
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1069S380W 1069S380W
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
THAT APP.
/' , .
YES NO CONDITION YES NO CONDITION �� fir'
❑ 1.Will this property be the buyer's primary / ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
JJI residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q 5.Wind Power Device
883 W McCarty Rd
Address(Number and Street) ❑ 06.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City state PCode County El �� 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ Q 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 all counties.)
Address(Number and street) 26-11-13-400-002 . 199-027
Kelsey R.Kolb-Blume Aaron C.Alkire
City,State ZIP Code County Primary property owner contact name E-mail