HomeMy WebLinkAboutHomestead_RiceSDF ID:
Greeorv A. Kahre
Preparu afrhe Sales Dlsclosure Fom
�9 N W Fourth Street
Addrea (Num6er and StrcetJ
i�p�a
Title
Ttl—StHte Titl e&('1 ocing Ser��i rPC i T f
Compar.y
Evansville, Indiana 47708 (
E-n, all
':ESELLER -S "GRAN9'OIi S � ^�`" ��i- '� ->r� �° �-":.:�- s�� 'S � ��^ -f �-� � �;:`� � •Y,�
:: )'_ � �3�3-�.'�_ _ �ar_7 .-��--�" ...-��.F+_�- �:_.r z ..'�., P��`--.�.�-� _. s�'"' ?�-__ �'r�.�:.�_a�sti.-x"3--.. _
Aaron Jost
Shcer]-Nameasappearsonconveyonced mm[ Seller2-Nameasappazrsoncanveyancedocument
� o . �-�C 1 �
Address m5eran StrretJ� _ � Addre.ss(Numberand5treet)
��.� S� _L nI y �1�3 �
_ ..
Under penaltles of perjury, I hereby certify that this Sales Disclosure, to the best of my lrnocvledge and belief, is true, correct
and complete as reqnired by law, and is prepared in accordance «�th IC 6-1.1-S.S, "Real Property Sales Disdosure Act".
Chad A
an
iress (Num6vand Street)
k3run�h ��.1
�. Sm[e and ZIP Lode
THE SALFS DISCLOSURE FORf.f AL1Y BE USm TO APPLY FOR CERTAfY �EDUCfIO@5 FOR
�❑ 1. Will this property be the buyer's primary �
residence? Pro�ride complete address of primary
re idence i duding counq�:
�bG� , �/ �y
,�jddres(' m6na� ( V I, 1� T/`�' ( 0 /I�SO/'1
r !l
� Clry, Sm[e ZIP Code Counry
�� 2. Does the buyer have a homestead in Indiana to be
vacated for tliis residence? If yes, pro��ide
complete address of residence being vacated,
including county:
Add: ecs (Number and SveetJ
Ctry.SmteZlPlode " Caunry
Sfgnamre of5ellu
Addres (Number and Streer)
F�u* + r a�� � 1 t�1 �I7 Co �l �d
Llry, Smre and ZfP lade
❑
❑
❑
�
�
A
n
APPLY.
3. Homes
4. Solar Energy Heating/Cooling System
S. �Nind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heatlng/Cooling Device
[� 8. Is this property a residenrial rental property?
[� 9. Would you like to receive ta�c statemenu for this
property via e-mail? (Provide contact information
below. Please see instrucEions for more information
Notavailable in all coun[ies.)
�� - �d'-� s�o?o� aa� i45G °a:�
n .............................e....�,,,n �,...,. E-maU
Under penalaes of perjury, I hereby certify that this Sales Disclosure, to the best of my l�owledge and belief, is hve, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure AcY'. (No[e:
Spouse information, Social Security and Drive�'s License/Other numbers are not necessary if no Homestead Deduction is
b�in; filed.) _
Chad A. Rice /0'� �u/0
PflntedLegalA'
s Smte LastSDigiuof5ocialSecurityNumber
License/ID/Other Number
�
Signa. o(8uyer2/ se
Jennifer N. Rice 1d ��{' l�
Las[5 digits of Buyer2/Spouse Driver's Smte Lasc 5 Digi;s oj Sacfal Secvri.y
Number License/ID/Odier�°umber .