HomeMy WebLinkAboutHomestead_Flaningam INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D..PREPARER_ - -- _ r -=-- - - ----- ---
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Tide
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES. LLC
Address(Number and Street) Company
EVANSVILLE,IN 47708 812-468-8485
City,State,and ZIPCode Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) . _----.._
DAVID C RFGHTEL KAREN L BEGHTEL
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
393/ bj2ovS 3C131 W 2ov S .
Address(Nur,ber and Street) Address(Number and Street)
014f(4 Elie I I/J 976"5 OurnR) lc in) 4-IUDs
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
m , co -.. - a r quired by law,and is prepared in accordance with IC 6-1.1-5.5 Real Pro rty Sales Disclosure Act".
Vie. ` �'
-ignawre a,Selle forma 1�
131. e, `i- EC {t lE(_ -" ; . • r1- ( O , '
Primed Name olSeller Sian Date Amp TMI Printed Name of Seller .Sign late( M/ODO nl
VF.BUYER(S)/GRANTEE(S)-APPLICATION FOR.PROPERTY TAX-DEDUCTI ONS-IDENTIFY-ALL ITEMS AT APPLY _ - - _.-_
CINDY K.FLANINGAM ft�//�j.J,
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance men
03 5 . !A u t k �-E .- ���[[[[[[ �, a
Address(Number and Street) Address(Number and Street)
\O„` ta)co fl\ t', 'L\ 1 li _ HOv7
TYA(/n-_
TES NO CONDITION YES NO CONDITION «/�
Iti El I.Will this property be the buyer's primary 0 ❑ 3. Homestead UR
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
resid ace,including county: ❑ Q 5.Wind Power Device
()3t3. tociSt
IQres(Numb.jund Str\eet) 'Ni 000 ❑ Si 6. Hydroelectric Power Device
( '�4/`lp--}1j-7U`1 I\ ❑ SI 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
r a...2. ❑ Q 8. Is this property a residential rental property?
Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) //)/q(//�
City,State ZIP Code Counry _ a?/,/a/ Co Di-O��
Primary property owner contact name E-mail