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HomeMy WebLinkAboutHomestead_Caalem 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) Com perry Evansville. IN 47715 mail T rtSU i' S t alt tf Sil''�a� :lt *�'C •ii —i- +41tfjkj toI sal —w yli4ahs Zr �;� f IT- 1 - rr f _ 1 .^�2a ... _ l. / ,�,r vw l..tP tI"r Fr<=:.d -� �'"� ,!r^, )� _*"'::�'�ai n�;-.«,y....^,.`a�o- �-?. t..=.c"�IS�a;<4.T'P"�tt^k..Pr-7,_�`..':,S.,t .�. �'?�:;'tt1`�: . Charles W Bivin Sel r1- ap'so oirrIklante document Seller 2-Name as appears on conveyance document e.c.kn-rk. tt - (Number.and Street) t Address(Number and Street) UQ-.(nui 1U ` ��.i City, V City,State,and ZIP Code Telephone amber E-mail Telephone Number E-mail Under pe allies, f perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c. lete a equir b aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". f 1 `.Signature of Seller t Q 1 l� Signature of Seller ' Charles W ivin@ ' - YC )t�v 1. Printed Nome ofSeller Sian Do r lMM,a% gem Name ofSeller n Date(MM/DD/YYYY) Romaricosofrontio Caalem Elena Caalem auy ]-Name as ap on c w ancedaeanent Buyer2 rna or appears on conveyance document Adds gss(Nutrthe and ect c W ipki Address(Number and Strect) CifCkir City, E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. FILED YES NO CONDITION YES NO CONDITION N ❑ 1.Will this propertybe the buyer's primary s ❑ 3.Homestead Dec 23 ZUZU residence? Provide complete address of primary © 4.Solar Energy Heating/Cooli esl lei a including:coun (DO ` r_ ❑ ❑✓ 5.Wind Power Device GIBSON COUNTY AUDITOR CB Ad '$(Nnmber_vdStreet r t tt Ib 6,, .■ 0 6.Hydroelectric Power Device rl 0 7.Geothermal Energy Heating/Cooling Device City,State ZIPCoile County El 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 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 far more information. (Called 1st Adv Title, spOke to Stacy (No to answer) Not available in all counties.) Address(Number and Street) 26-18-13-404-000.501-026 City,State ZIP Cade County Primary property owner contact name E-mail