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HomeMy WebLinkAboutHomestead_Moline INDIANA SALES DISCLOSURE FORM SDF ID: _ Pave 2, D.PREPARER Donna Zehner Processor Preparer(lithe Sales Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville; IN 47715 :.E:.SELLER(S)/GRANTOR(S)_ _.. Sally Jane Hart Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document a0l 51 P6ftvE,C S1 , *J13 Address(Number and Street) Address(Number and Street) PK ) iveL -0J / ) 0 47176' 7Q 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". Signature of Seller 9 Signature of Seller J Sally Jane Hart li' ^ \\/1(202 Q Printed Name of Seiler Sign Dote(MM/DD/YYV11 Printed Name ofSeller Sian Date MM D .E BUYERtSI/GRA!NTEE(S - PPLICATRIt i.RakE.C RTI'TAX3 tgtieCTlONS- UEN`f`IEYALL ITEMS THAT APPLY '`' =" 1_ Cameron M Moline Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document '0 Mt CA l-\'i RI Address(Number and.Street) Address(Number and Street) Pi ►n(l ton, IN `1-16'Ib City,State,and ZIP Code City,State,and ZIP Code FILED Telephone Number E-mail Telephone Number E-mail i THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLNOV 19 2020 YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBBON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,includi g county: �03 M( (Ai 4-1 e, ❑ ❑✓ 5.Wind Power Device Address(NuniberandStreet) ❑ 0 6.Hydroelectric Power Device / 10 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County j ❑ % 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZ 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) 26-11-13-400-000.788-027 City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number