HomeMy WebLinkAboutHomestead_EaglesonL�DL1\A SALES DISCLOSLRE FOR�I SDF m SDO m 679399 11.- � pap�''
Crista Wallace
'PreyarerofNt5alu0trdosureForm
605 S. E. Alartin Luiher King Jr. Blvd.
ACdress (Num.ber end Svn[)
Evansville, IN 47711
Qry. Smte. andZIPCoCe
Heather J. Mounis Balley
Seller 1-Name as appears on convqnnu Eoaumrnt
705 E. Ulen Street
Addrrss(Num.be; cnESo-n:)
Ft. Branch,IN 47646-
Ci.y, Sm:e. and ZIFCode
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Souitnvestzm Indiana Land Title �
Comp�ny
Se17er I� Name as appeors on canveyana docvment
Addrtss (Num6er and S[reec)
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Under penal[ies of perjury, I hereby cer[ify that this Sales Disdosure, to die bes[ of my knowledge and belief, is [rue, mrrec[
and/ complete as required /by l�a?-w, and is pCrePaQred� ^in a1c',cordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
't0/.i'����T �Ci(nT� /�i��S'�/i�^�'�11vV,"7�!.Al��
ha�S. Eagleson
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Ft Branch, IN a76a8-
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5(qr.emis o/Seller
Quyer d� Nome as appears om m�veyunce ervmen: .
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THE 5,1LE5 DISCLOSURE iORM M,1Y BE USED T0.IPPLY i0R CERT,IIA DE�UCfIO\5 FOR TMIS PROPERTY. IDE\TIiY ALL OF TNOSE THAT APPLY.
X� � 1. 4Vi11 [his property be the buyer'S primary
residence? Provide complete address of prima
residence, intluding county:
705 E. ULEN STREE7
AUdres (h'umber ar. d SveetJ
Ft. BranUi, IN 47648 GIBSON
City, Sm[e LP CoCr Counry
�� ?. Does the buyer have a homes[ead in Indiar.a to be
vacated for this residence? Ifyes, provide
wmplete address of residence being vacated,
induding county: -
Q ❑ 3. Homestead
� K i a t i F o,.uo�: o^'oalingSys[em
� Q 5.4Vind Po�ver Device
� Q 6. Hydroelettric Pawer Device �
❑ Q 7. Geothermal Energy Heating/Cooling Device .
� Q 8. I5 this property a residen[ial rental property?
❑ Q 9. Would you Iike to receive ta�c scatemen[s for this
property via e-mail? (Provrde mnmct information
6elow. Pleose see instrucdons for more inforrna[ion_
iVot available in al! counties.J
Address (NumCerond5oeetJ
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Ciry. 5stt LP Code Counry
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Under penalties of perjury, 1 hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance }vith IC 64.1-5.5, "Real Property Sales Disdosure Ac[". (\o[e:
Spouse informatlon, Social Security and Driver's License/O[her numbers are no[ necessary if no Hmnes[ead Deductlon is
beino filed.)
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