HomeMy WebLinkAboutHomestead_Armstrong (3) INDIANA SALES DISCLOSURE FORM SDF ID: P2ge 2
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47725 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
'E.SELLER(S)/GRANTOR(5)`_ ----- —=- - --- --- =- ----- --- - - ---- -- —
Charles H Cone
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10851 F 700S
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn• • e as re. ired by I.w, . . '... • .ared-in accordance-with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/7� . �� �.
' titre, --g- Signature of Seller
Charl Yi Can 8/30/2013
Printed Name ofSeller Sian Date(MM/DD/Yell Printed Name of Seller Sian Date 1M.H/DDMWI
. ER(S)/G EE(S)__APPCICATIOMFOR'PROPERTYrTA'XDEDUG-TIONS=I DENT IFYtACLITEMS-THATAPPLY_`_.� _. _ _
( Megan Armstrong
C..„ .„Buyer „ are on conveyance document Buyer 2 Name as appears on conveyance document
\202 E. Elm St.
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
. • TYTY. IDF FYAL ..SE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary I i ❑ 3. Homestead ������----111111
residence? Provide complete address of prima • \� • • • er• Ip a�n Coo S irk
residence,including county: ❑ - J
202E Flm St 5.Wind Powe 'Bev'
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson ,,tt
City,State ZIP Code County ❑ 7.Geothermal Ener� �IeattA�� oling Device
❑ 5 2. Does the buyer have a homestead in Indiana to be ❑ 5 8. Is this property a Iresidential re.cal . .perry?
vacated for this residence? If yes,provide ❑ 5 9.Would you like J. fy --;cr.l Cements for this
complete address of residence being vacated, property§ :- J , :yq pfdrmation
including county: below.Pie se see instructions for more information.
Not available in all counties.)
Address(Number and Street)
City.State ZIP Code County
076 -79-,v--/9-,v- SOVaz oaa -609
Primary property owner contact name E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,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 Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed,)
S1 �.rn .
Srgnattr( ofBuyrrl Signature ofBUyer2/Spouse
Megan
Number License/ID/Other Number