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HomeMy WebLinkAboutHomestead_Culley INDIANA SALES DISCLOSURE FORM SDF ID e '-'� �R Try±,�I� S .' 1 �, t'^.�. V -. i� i L - .X T'>—:_.ST. .� � ?l�T t7 �341� M1:'�t+.T'i! - Sa.._._.. ... �c�..0.0 ._...-. i., ,::}.. �. � Jt ..h.?[�" �_..c..Y.`.. . ._.. .moo -t ��ti;l .�.i -.. �: •LY';. 2 Jeff Fox Title& Escrow Processor Preparer of the Sales Disclosure Porm Title 3930 Mezzanine Drive,Suite C Columbia Title,Inc. Address(Number and Street) Compaq) Lafayette,IN 47906 mall {:,-11'Wi e�etar.�1\(lL�l 'g $1=166210.61MA RZ A RMj..._.a 2.. 1a - Sy,�.-S t Lita :a4§, Gibson County Holdings I If; Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document C[LI Address rberandStreet) Address(NumberandStreet) Vrt - 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 ancomp e as eq ed y-law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature ofSeller Signature ofSeller By: Mark S.Isaacs, Member Printed Name o Sailer Sign Date(MM4IDD/YYYY�tA Printed Name ofSeller Sign Date(MM/DD�YYY) u a Wa g rA oat 4 t . iA N S X M$1 ' y c , 2 Alyssa Gulley Page Culley Buyer 1-Name as appears on conveyance document Buyer2-Name as appears on conveyance document 7769 South US Highway 41 7769 South US Highway 41 Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 .1 (�I]brt Branch, IN 47648 Sep 09 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION E ❑ 1.Will this property be the buyer's primary [Jj ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ © 5.Wind Power Device 7769 South US Highway 41 Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch, IN 47648 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State 21P Code County Ill [[ 2.Does the buyer have a homestead in Indiana to be ❑ © l3,Is this property a residential rental property? vacated for this residence? If yes,provide El 0 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information including county: below,Please see instructions for more information. Not available in all counties) Address(Number and Street) 26-19-19-102-000. 212-026 City,State ZIP Code County Primary property owner contact name B-mall