HomeMy WebLinkAboutHomestead_Littlejohn INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_D.PREPARER -
Becky King Closing Services
Preparer of the Sales Disclosure Form Tide
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7820 Eagle Crest Blvd., Ste 201 Regional Title Services
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Address(Number and Street) Company - 1
Evansville, IN 47715 812-759-5555 becky.king @regionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
E.sELLEfs)/GRANTOR(s)-_ -_ - -.-
Mark E Niehaus Sandra K Niehaus
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
D)- W 9 c S 2,(37-• S . MtL1 St-
Address(Number and Street) Address(Number and Street)
�!h.- `k A..--4 LEA. (A c(-76,-(8 pt,•1F.r SA U.S-- i d L(l b 6 s
Under penalties f perjury,I hereby rtify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co ete req d by I ,a ed is prepared in accordance wi IC 6-1.1-5.5,"Real P rperty Sales Disclosure Act".
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,gnature of Seller Signature of Seller
Mark E Niehaus 12/19/2016 I Sandra K Niehaus 2/19/2016
Printed Name of Seller Sian Date(M Y}7 M/DD/YY Printed Name of Seller S• Date(MM/DD/riYt1
F.BUYFr Urc I NTEE(s)=APPLICATION FOR PROPERTY TAXDEDUCTIONS_IDENTIFY ALFEISi. T. ,P,L - . - -
Branden L. Littleiohn Kylie M. Littlejohn q
.p-.! �' .....�,,,,wn n conveyance document Buyer 2-Name as appears on conveyancl116cenat 1 7016
3014 Crossbow Ln. same U�l.
Address(Number and Street) Address(Number and Street)
Evansville, IN 47715 XICIPM�LlWN.A
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION � YTS JiO CONDITION
0 ❑ 1.Will this property be the buyer's primary n 3. Homestead .
residence? Provide complete address of prima 51 . o a eating/Cooling System
residence,including county: ❑ pg
2230 W 950 S 5.Wind Power Device
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
• Fort Branch, IN 47648 Gibson n 19 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Q ❑ 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 ❑ TA 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.
3014 Crossbow Ln. Not available in all counties.)
Address(Number and Street)
Evansville, IN 47715 Vanderburgh .i(, _18 -A6 -300 -4002 • V 9 O -t,.L3
City,State ZIP Code County
Primary property owner contact name E-mail