HomeMy WebLinkAboutHomestead_Seiler1\DUNASALESDISCLOSUREFOR\I SDFID SDOID 722022 Page2
D: PREPARER _ _ - - — - : -3:: - � �_ y.�_
Abbey Moore Closer
PreporerofNeSa/vD6dmurcForm Ttlt
3101 N. Green River Road Suite 140 Trusiworthy Land Title Co. Inc.
I Addresr(NUmberandRreet) Compony
Evansville, IN 47715
CUfI
Marsha F. Cud
Sd/rr1-Nameusappevnwronveyvnredocvmmr Sefler2-Nameasappevrawmnvryoncedrcummt �
9969 SS. Clerview Drive 9969 S. Clearview Drive
Addrta(NumberandSbre[) � Addrm(Numberand5bre[)
Haubstadt, IN 47639- � Haubstadt, IN 47639-
Gry, Stalq and Zf➢fude City, Smte, a�LPCoGe
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Underpenaldes
and�pmalete as
David L. Seiler
Beyz� 1- Name v appmrsan
7125 S. 800 E
� um6erand5nee[)
OaTand_CiN. IN 47660-
1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is trve, correct
y�, and isp�epared in accordance with IC 6-1.1;,5.5, "Re�l Proper[y Sales Disclosure Act".
=:APPLICATfON'FOR
THE SALFS DISCLQSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCfI0N5 FOR TNIS
x❑ ❑ ]. Wili [his proper[y be [he buyer's primary
residence? Provide comple[e address of �
residence, including county:
107 E VINE
Add2s (NumSerend Sveet)
FL Branch, IN 47648 GIBSON
Gry.SmteZlPCodr Counry
�� 2. Does [he buyer have a homes[ead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrea (NUmber and Soeet)
G7', SWa ZIPCode
lounry
Aary E. Seiler J
Buyer2-,Vameutappmrs tyvn¢dorument
Ad1ress (X umber ond Sceet)
Oakland Ciry, IN 47660-
Q � 3. Homestead
THAT APPLY.
System
5. Wind Power Device
❑ Q 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Heating/Cooling Device
❑ Q 8. Is this property a residential rental property?
❑ Q 9. Would you like [o receive tax statemen[s for this
proper[y via e-mail? (Provide tontactinformation
below. Pleose see instructrons for more informa[ton.
Notavailo6le "n alI cnuntiu.)
�G -/� /.3- ��aao./��'- a�?�
Pnmarvoronemmvnermnmaname E-mail
Under penalties of perjury, l hereby certify that [his Sales Disclosure, [o the bes[ of my knowledge and belief, is trve, correc[
and ptete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Sp use �nforma[ion, ocial ecuri Dri� er's nse/Othe� numbers are not nec sa � if no Homestead Deduction is�
b i g f ed.) ' , ¢i
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IN " IN
LastSdigi�b%BuyerlDnver's Sm[e LastSDigiGSO%Saciol5xurityNumber LastSdigib�ofBuyer2/SpouseDrider's Smte LaslSD(gib�o/SaialSecunry
Lirense/ID/OMerNumber Number Licente/1D/OtherNumber