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HomeMy WebLinkAboutHomestead_Stieneker INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER .- Donna Zehner Processor Preparer of the Sales Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville. IN 47715 E:SELLER(SI/GRANTOR(Sl . • . _. - , . . ' Tffri'lit... P° ;.'.z,9.+,V, i r,,ig i g Patrick L Toll Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1219 tJ NtILi A D2 Address(Number and Street) Address(Number and Street) PW .11.S.cC- -i `Vr1 i 1 E-mail Telephone Number E-mail Under p= es of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co I •to as r ui'ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /7 tda, Signature of Seller Signature of Seller Patrick L Toll der 1.9 2" Printed Name o Seller Sign Date(MM/D.D/YYYY) Printed Name of Seller Sian Date(MM/DD/Ym) Pr:I3 J1C l rigl t1N�T.E:E(S�'j�_;APP.L'l:CATIQN1F0't.PROf',CF2 ',Y=TAY'.AEDUCTIbNS;7D.El VIWAt '� TTt PPTrY ` w` � k Jacob M Stieneker 4aft a` E '- M Mill OAi'VIncIln E tv\ \\S Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 110C 1\1 OU Peie(sLor • F� same. Address(Number and Street) ' Address(Number and Street) ?( In(e--0n.r). l.1(2 •lb E-mail Tele hone Number Oct 29 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR PERTY.IDENTIFY ALL OF THOSE THAT APPLY -.YEIStie NO CONDITION YE NO CONDITION ❑ 1.Will this property be the buyer's primary t ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System resid nce,including county: ii 1q 0 6 N (31 Pe-1-e t SV-AAA( t?a “b i_ ❑ ❑✓ 5.Wind Power Device Address(Number and Stre t) , ❑ 0 6.Hydroelectric Power Device {t l(V`?kd ni1 u �� 1 b ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State21P de County ElLam' 2.Does the buyer have a homestead in Indiana to be El ❑✓ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 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) 26-05-31-400-001.925-027 I City,State ZIP Code County Primary property owner contact name E-mail