Homestead_Flegel II INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
•
Evansville, Indiana 47713
(812)425-0055 teresa@swinland.com
City,State;and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Vincent L. Bowden
-Seller!-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
404 N Main St
_-Address(Number and Street) Address(Number and Street)
-Fort
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".
t �-�'Z--f\ .---
Signature of Seller Signature of Seller
Vinceht L. Bowden 1/23/2019 1/23/2019
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller 4101/ Sign•Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT P114
Chris Michael Flegel IINO�.
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d wment
5214 Oak Hill Road WO?
• Address(Number and Street) Address(Number and Street) a Z NV/
Evansville, IN 47711
E-mail Telephone Number E-mail
•
' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES ' NO CONDITION YES NO CONDITION
0 0 1. Will this property be the buyer's primary 0 0 3. Homestead
residence? Provide complete address of primary 0 0 4. Solar Energy Heating/Cooling System
residence, including county: -
404 N Main St. is 0 0 5. Wind Power Device
Address(Number and Street) 0 Ed 6. Hydroelectric Power Device
Fort Branch, IN 47648 :a. I - Gibson' ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County 0 0 8. Is this property a residential rental property?
❑ 0 2. Does the buyer have a homestead in Indiana to be 0 0 9. Would you like to receive tax statements for this
vacated for this residence? Ifyes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) ,a‘ —
/1- /3
—
/17_ 0�n' Q7—
°� /E- .
City.State ZIP Code County 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
License/ID/Other Number