HomeMy WebLinkAboutHomestead_Bethel H. PREPARER
Preparer of the Sales Disclosure Form Title
Lindsay M. Phelps Searcher
Company
Address(number and street,city,state,country,and ZIP Code)
226 W Broadway Street, Princeton, IN, USA 47670
I. SELLERS)/GRANTOR(S)
Seller 1-Name as it app -on ���
conveyance document Seller 2-Name as appears o e document -
David L. Fithain (((
Address(number and street) Address(number and street)
8055 S 600 W b
City,state,and ZIP Code City,state,and ZIP Code AG(�Q
Owensville, IN 47665 9 2
O3 QC---)...)
Country Country
USA O/es
E-mail address
-rCne.' ( )
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is tR/ rect and complete as
required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifie the value of transferred
real property,or omits o illsifies any information required to be provided,commits a Level 5 felony.
Si at of - I erg Signature of Seller
rinted Nam Se ler Date igned( m/dd/yyyy) Printed Name of Seller Date signed(mm/dd/yyyy)
David L. ithian S p 83
J. BUYER(S)/GRANTEE(S)-APPLICA ION OR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
James L. Bethel
Address(number and street) Address(number and street)
1501 Bonnie View Drive
City,state,and ZIP Code City,state,and ZIP Code
Evansville, IN 47715
Country Country
USA
E-mail address
certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
® ❑ 1.Will this property be the buyer's primary ) C 1 3. Homestead
residence? 0 O 4.Solar Energy Heating or Cooling System
2. Does the buyer have a homestead to be vacated 0 I 5.Wind Power Device
for this residence?If yes,provide address: 0 [] 6.Hydroelectric Power Device
Address(number and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,state,ZIP code,and county
c96 -2_.- O 8 -10S— 0 02 -S-8 8 -02g'
Under penalties of perjury,I hereby certify 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.A person who knowingly and intentionally falsifies the value of
copy