HomeMy WebLinkAboutHomestead_Wilkerson (6)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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A�iaie Pace Title Assistant
� Preparera/MeSalesDBdosureFOrtn Title
1911 Lincoln Ave. Clear Title Comoanv
Addres (NUm6a andStrret) Company
Evansville.IN 47714
E-mail
� E.�SEI:I�:ER S � GRANTOR 5 sF �'; nT�t',�' ._.ti:•� '�a _at��'' '� �; • 'r�- ��tir.3 i- x :.;-�s..`fx T.
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Sellu 1� Nvme as appears on conveyuntt docvment Se11er1- Name as appmrs on ronveyanre davment
30a N Chc��e`n
Address (Number and5tree[) Addr¢s (Number and Stree[)
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Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as renquired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
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F.!BUYER 5 'GRANTEE S "APP,L•ICATION;FOR�PROPERTY_7AX'DEDUETIONS�IDENTIF.Y'Atti�ITEMS;THATAPPGYz` ..rF•"'�
James R. Wilkerson Lori J. Wilkerson
Bvyer 1- Name as appmrs om m�veyvntt dotummt Buyer 2� Name as appmrs om m�veyanre document
307 S. Cumberland St. 307 S. Cumberland St.
Address (Numbrl andSPeet) Addrcv (NUmber andSVeet)
Fi. Branch. IN 47648 FL Brench. IN 47648
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Email
THE SALFS �ISO.OSURE FORM MAY BE USFD TO APPLY FOR CENTAIN UEUULTIONS FOR THIS PROPERTY. IDE4TIFY ALL OF TNOSE TFIAT APPLY.
YFS NO CONDRIOY YFS NO COYDITIOY
�✓ � 1. Will this property be the buyer's primary ❑✓ ❑ 3. Homestead
residence? Provide complete address of primary � O 4. Solar Energy Heating/Cooling System
residence, including county: � O 5. Wind Power Device
407 S Cum6erland St
Address(NumberandStrcet) ❑ ❑✓ 6. Hydroelectric Power Device
FL Branch IN 47648 Gibson � � 7, Geothermal Energy Heating/Cooling Device
[lry, Smre Z!P[ode Counry
❑J ❑ 2. Does the buyer have a homestead in Indiana to be � � 8• �s this property a residentlal rental proper[y?
vap[ed for this residence? If yes, provide �❑ 9. Would you like to receive tax s[atemenfs for this
comple[e address of residence being vacated, property via e-mail? (Provide contact informadon
including county: 6elow. Please see instructlons for more infarmation.
705 W John St ..��I�4— i�'i��.'�l 9-eab No[ availa6le in all toundes.)
Address (NumlwandStreetJ
Ft. Branch, IN 47648 Gibson ,ja.n�S�,J\VLt¢YJ��%^^�`� -Co�.-.
Ciry.Sm[eZIPCOde Caunry
Pnmary pmp<rty owner ronmce nome E-mail
Under penalties of perjury, I hereby certify that this Sales Disdosure, [o the best of my knowledge and belief, is tne, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social S rity and Driver's License/O[her numbers are not necessary if�esread Deduction is
b ' g led.)
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