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HomeMy WebLinkAboutHomestead_Shelby 1 INDIANA SALES DISCLOSURE FORM SDF ID; 22~� U:PREPARER . Y 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 b. 1 1 c'+� 1}v`a- �;r'}s*+ 14�V,uGv 1,.. + G -^� tU�r .x p.. ✓vA. Y U'S'? ��.` �..yA e a 4 a... ���it y E-�S ra: S C� :I�1,ati8� Fe�,.zr�: `W �.Cr+'ag�'+r :t ..' z M ?,.:�;, ,,.� -'w: _ ='1.�=vsk{Vrdi�14 r L .C�?_ �-Rr ; -Z.;:.g '.mi ( �/L h ,a St f.Sri��C.1.._ti$-�"Si..l .1 Robeart.Kinkie. A Sonriin(Kinkle ,----- Seller1-Name as appear-son 6qvcypncedAeutnent. .� Seller?-Name as appears on rveyantedacu men t 7Cr Re-ifAll //."& `Pl0 e' // / !+ Address(Number and Street) ' / Address(Number and Street) \ -- / \F i City,State,and ZIP Code City,State,and ZIP Code 7 /f \ Telephone Number E-mail Telephone Number j, ,f' \ &atoll Under penalties of perjury,I hereby cer�ify that this Sales Disclosure,to the bestf any knowledge anchkeli.ef,is true,correct and complete as required bylaw,and is prepared in accordance with IC 6-1.1-$.5,"Real Property Sales Dstt osure Act". Signature ofSeller Signature of Seller 1 Robed Kinkle / Connie.G Kinkie. by J.Robert Kinkle as AiF Printed Namen Seller St ii Dote MMY1 Printed Na me a.SIIor Sign Date HSriDD117i ,$ 'L-� "51Y G A + 62 Icix10.3 ga Y.Y �3 ITIart_. j7 )5 .S3110 .x b: l IPTIM- ^ 13A?R `P1 I MC " °'.WM,.' James Shelby Jennifer Shelby Rayc .1-Name as appears a canvcyancedocument Buyer l-Name as appears on conveyance document Address(Number and Street) Address(Number and Street) E-mail Telephone Number E-mail Out 30 2020 THE SALES DISCLOSURE MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALi.OF THOSE THATAPPLY. YES NO. CONDITION _ I YES NO CONDITION -- 0 1.Will this property be the buyer'sprimary 3.Homestead �❑ GIBBON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residtp tea includii g county: ❑ ❑✓ 5.Wind Power Device ,tddress(Numberondstreet) ;h t 1 ❑ I] 6.Hydroelectric Power Device 'ft .+1C�C. 1 l I"tv 07() C'l`'la- c'n ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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) t�,� /y�`\1(�}�f,26-12-08-204-001.479-028 City,State ZIP Code County ( `. e3 2 "/ - Crimanrprrpsrtyownercontactname r E-mail ..`