The URL can be used to link to this page

Homestead_Frizzell INDIANA SALES DISCLOSURE FORM SDI:ID: Page 2 D.PREPARER LANA C. HARPER CLOSER I're)snrer of the Sales Disclosure Form Title 5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES. LLC Address(Number and Street) Company EVANSVILLE. IN 47715 812-468-8485 City;State,and ZIP Cafe Telephone Number E-mail E.SELLER Si/GRANTOR(S) Randy Duncan Kimberly S Duncan AdierI-N'ame as appears an convewm r document r S-ller2-Namras appears on connyance document 7 7 7 5 0-Go PrrNcfivii ..A ti .7'7 - S. 3PO Lc) Addnns(Number and Street) rye/7D Addnss(Nmnber and Street) rye PP-1 oCe raN T1v 4-(67° and co s e as requ�%'r-b .w,and is prepared in accordance with IC -1.1-5.5,"'e ' -r erty Sales Disclosure Act". stare a,Seller n/j j^ Sign ,ure a/Seller A Randy Duncan' -/ ✓-/t alr' Kimberly S Dun .•• /Q 4 Printed Name of Seller Sian Date(!N/DD/l'Y)Tl Printed Name of Seller Sian Date cwwpD/1TIT) F.BUYER(S) GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Rennie E. Frizzell Asther Mae Frizzell „ , . : // - on conveyor a document / flu yer 2-Name as appears on mnveVance doe ruLrnt J`' , n gIIjRL"/ � -1`Th L- '55/Number and Street) /N �� ,Iddress(Nun rdare•yZe to roc/se° ///Al ///Yt/ I/�� T THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR T IS PROPERTY, IDENTIFY ALL OF THOSE TIIAT Ael'4 I YES NO CONDITION I . ON .-/(lt I_' ❑ 1.Will this property be the buyer's primary t; ❑ 3•Homesteac IIIIIC.R residence? Provide complete address of primary ❑ © 4.Solar .nergy Beating/Cooling System i 390 EsidegcecI d(too�Ciff ing county: ��//�� ❑ ig 5.Wind Power Device Y��Ramberand Street) f_ ❑ IA 6,Hydroelectric Power Device YIGSCO /' ��/ ��JS� ❑ 0 7.Geothermal Energy Heating/Cooling Device City"'ate/ 'rale County 2. Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information below. Please see instructions for more information. i udina ntyn f f 113(0 VLJZ, Not available in all counties.) I yss(Number nd Street ou /'V 7 . e sp .. da ,z 6 - /3 -do - 01 00 -000. 3,2.2 -007 Citr,State ZIP Cale County Primary property owner contact name Email