HomeMy WebLinkAboutHomestead_Beuligmann INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER --
Stephanie Miller Closer
Preparer afthe Saks Disclosure Form We
4962 Lincoln Ave. First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteam(afirstadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mail
E•SELLER(SVGRANTOR(S) `_: t ` t I
John Tobias Odom Sheila S Odom
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7107 W County Rd 400 S
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn•lete as r:quired _ and is prepared in accordance with IC 6- .1- .5,"Real Pr;per[y S es Disclosure Act".
Sig attire of Seller Signature of Seller
John Tobias Odom 4/1/2014 Sheila S Odom 4/1/2014
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller `$o IIgIA l5$��',. • to(MM/DD/YYYY)
F:BUYER S GRANTEE S .'APPLICATION FOR PROPERTYrTA X,DEDUETIONS'.IDENTIFY•AL•L' M T T.A Y, -"
a Beuligmann Denia Beuligmann
D,.r.•I-M..,,.,•r•Fi,.a,n tin c.nveyonce document Buyer 2-Name as appears on conveyance document
3458 Highway 11 same APR 3 0 2014
Address(Number and Street) Address(Number and Street)
West Salem. IL 62476
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
Q ❑ 1.Will this property be the buyer's primary iii 0 ❑ 3.Homestea•
residence? Provide complete address of primary ❑ n 4.So ar nergy Heat pTor g
residence,including county:
7107 W County Rd 400 S ❑ n 5.Wind Power Dev'
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ Q 7.Geothermal Energy HARft)t8000-1g Device
City,St e(JP Code County e
❑ �/(}` 2.Does the buyer have a homestead in Indiana to be ❑ n 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 9.Would you like to r:t�•- -` ,: - c or this• I.m11i
complete address of residence being vacated, property via G Y Emir •L • t information
including county: below.Please see instructlo .Xr Ration.
Not available in all counties.)
Address(Number and Street)
City State ZIP Code County ° - /o - 3G - 400 -a oy.,39a -oa/
Primary property owner contact name E-mail