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HomeMy WebLinkAboutHomestead_MichelsPreparer of the Sales Disclosure Form Title Milton Norman Settlement A ent Company Email Address Telephone Number Hometown Title, LLC orders hometowntitles,com ( 812 ) 461-6399 Address (number and street, city, state, country, and ZIP Code) 25 NW Riverside Drive, Suite 310, Evansville, IN 47708 L..E.i S)/.GRAhfTQR($) . Seller 1. — Name as it appears on conveyance document Seller 2 — Name as appears on co a u Edwin R. Memmer Address.(number and street) Address (numberand street) 104 S Division St City, State, and ZIP Code City, State, and ZIP Code A 06 U 7 2026 Francisco, IN 47649 Country Country us Email Address Telephone Number Email Address N Cpt1/v ibp�mber li�per 4T!!`of 1�r3Y�'I hp�lfat'ihts Sales Dlsdlort4rre,Rtttte tit of mylftriawiatleand lbelle#, in;a; eoirect, and ccilorpletg.es:: ;:` iraq�uinadfiy Isar, !?� ?� PB!i'�d:tti:a9.0 'amt�o t}tr ¢ i 1�9.1. A le ► �wha - n jt anditi6eit agally f Hie tt+e vplue ill nr;fetie :• t�a1-P>' !tY+fie weaTtsocl l ias arlgt i�fpnnaitara.t qulegd.k►be:pr n 111wo t t vallsielooy: . Signature of SOW Signature of Sellet Primed Name -of Seller Date Signed (mn*kVyyyy) Printed Name of Seller Date Signed (mm/dd/yyyy) Edwin R. Memmer ; ,.. ;.Y>ER�SGi►NS}>At't'l(.1CA'i�ON:�O�t�?�iRTtF:TAiC:E��DUCTKiNS � iQ�NTIEY.ALL ►T APP�,Y Buyer 1— Nameas it appears on conveyance document Buyer 2 — Name as It appears on conveyance document Noah . Michels Address (number ands t �� �� fL400 Address (numberand street) City, Slate and ZIP Code ?�33 City, State, and ZIP Code e CL Country Country us Emall Addre T hone Number Email Address Telephone Number Y►-a]M*65 )3vz.-Nq ( ) Ptlr u rit '.6.74'344 4 tt R mil&a:Dir4cle: Mire Foini tlray:.'ate.:u gi*pphp044:ideitii YES. NO CONDITION YES NO CONDITION 3 O 9. Wig this property be the buyer's primary M 0 3. Homestead residence? © ® 4. Solar Energy Heating orCooling System O ® 6. Wind Power Device 0 Z. Does the buyer have a homestead to be vacated for this residence? If yes, provide.address, p ® 6. Hydroelectric Power Device 0 (2 7. Geothermal Energy Heating or Cooling Device 15� _ ad _ Q 1 _ oco , ,address (number and street) City, State, and ZIP Code County UA(J� Jtltles of prtij[rry, l iitaceby;caiify �iia#M�tis Satesli�sWa::#oitfire.#t:pif:inY. ttnlirlRdg. at►tl tislif; is llrue, eatrvct; arici cc�npleie f 5,5,.A tipnalitr : !! Y Imo; ni!'}e prapar�ttart ai ordanoa tt►1G t 1 on, ttgly..arid f Nies: ttas elue:Pf., . :. sTeried #that propplty,:pi omits Artpi es apY ktf trliiatipn ip�utred to pB ptoWr�ed, colmm) to `a Lev615 felony {A1ote :spoiue . ;;- .. frlY�Tirif�Mn,:tfidli!!reds:ikensa//LYirtrttnker.•la° " _ ` : �onl tfa:HrDtrtv9fQatfDedtG�'Cyt /s beingTfod ;' Signature of Buyer 1 Signature of Buyer 2/Spouse Punted Legal Name of Buyer 1 Sign DWo'(MM/DD/YY) Printed Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YY) Noah L. Michels Lost 5.D Bits. of Buyer _SSW Drlvees t_icense/IDIOther Number Last 5 Digits of Buyer 2/Spouse SSWDdvees I.icense/ID/Other Number Page 3