HomeMy WebLinkAboutHomestead_GrahamINDIANA SALES DISCLOSURE FORM11 SDF ID: Page 2
D.PREPARER T
Preparero/rhe Salu DisNasnre Form TiNe
219 N. Hart St., PO Box 13 Hall, Partenheimer & Kinkle
dddres(NumberandSVeeQ Companv
� ceton IN 47670
E�mail
E. SE
Seller 1� Name as appears om m�vevance document
3120 E Ton Hat Road
Addres (Number and Sveet)
Prinreton IN 47fi70
Seller? - Nome as apAears on canveyonce documen�
Address (Number and Svee[)
Liry.Srnte, and Z/➢Cade
er nal[ies of perjury, l hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comp ete as re u e by 1� v, is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
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Sig. -^ o(Seller Signomreof5eller
7 -A'ame
Code
Bu��er 2- Name as oppears an romeyance domment
Add�ess (Number and S[ree[J
CiN.Smle, ondZlPCode
THE SdLES DISCLOSURE FORM AIAY BE USED TO APPLY FOR CERTAI.4 OEOUCf10N5 FOR TNIS PROPERTV. IDEYTIFI" ALL OF THOSE THAT APPLY.
Q � 1. Will this property be [he buyer's primary
residence? Provide complete address of primary
residence, including county:
3120 E Top Hat Road
Address (b'umber und Street)
Princeton IN 47670 Gibson
Ciq•. Smte ZIP Cade County
�� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Address (Number ond Street)
Ciry, Srnte ZIP Lade
Launty
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3. Homes[ead
4. Solar Energy Heating/Cooling Sys[em
5. Wind Power Device
6. Hydroelectiic Po�ver Device
7. Geothermal Energy Heating/Cooling Device
8. is �his property a residential rental property?
9. Would you like to receive tax statements for this
property via e-mail? (Provide conmct in%rmotion
below. Please see instructions for more information.
Not availa6le in all counties.)
a�-la-i5-zoo -c�3• S 90-aa7
Jusun Graham
name
E'-mail
Under penalties of perjury, 1 hereby certify tha[ this Sales Disclosure, [o 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". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beine filed.l
License/ID/Oth enVum6er
Last 5 digits oJBuyer 2/Spouse Driver"s
Number License/ID/OtherNumber
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