HomeMy WebLinkAboutHomestead_SullivanINDIANA SALES DISCLOSURE FORM SDF ID: PaRe 2
D.PREPARER
, J. Robert Kinkle Attornev �
Preparer a(the Sales Okdosure Fortn Title �
�9 N. Hart St.. PO Box 13
ress (Num6er ond Stree[J
rinceton.IN 47670
CiN. Smte, and ZIP lode
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Seller r h'ameasappearson ronve�anredxumen[
1806 Burlington Place
Address (A'umber ond Sveet)
Prinreton IN 47670
Hall. Partenheimer & Kinkle
Company
Telephme Number
Name as appears m conveymce document
Address (Number and Stree[f
[iry,
E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ 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".
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Signamre Seller � SignaNreo/Seller
Bm e� 1
.IAdres (Num6er and Stree[J
Date
- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
document
ra IN 47529
Smte, and ZIP Lode
$
E-mail
THESALES DISCI.OSURE FORM MAV BE USED TO APPLY FOR CERTdI.Y DEDURIONS FOR THIS
�✓ � 1. Will this property be the buyei's primary C
residence? Provide complete address of primary
residence, induding county:
1806 Burlington Place
Addres (Number and SVeet)
Princeton IN 47670 Gibson
[int srnre ZlP Cade Counry
Q✓ � 2. Does the buyer have a hmnestead in Indiana [o be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
3237 E. 1200 N.
Addres (Numberand Svee[J
Elnora IN 47529
f.in�. smte zIP [oee [ounry
Buye� 2- Nome as appeors m ronveyance documen[
Address (Number and SveetJ
Ciry, Smte, and ZlP Code
THATAPPLY.
✓� � 3. Homes[ead
�1_�—���! rgy Heating/Cooling System
� ✓� 5. Wind Power Device
� ✓� 6. Hydroelec[ric Po�ver Device
❑ ✓❑ 7. Geothermal Ener� Heating/Cooling Device
� �✓ 8. Is this property a residential rental property?
� 0✓ 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact in%rmation
belo�v. Please see instructions for more informarion.
Not available in all counties.)
� / /o%oo/ �qG,Oa-7
Debres F. � Ilivan
nome
E-mail
Under penalties of perjury, ► hereby certify Ihat this Sales Disclosure, to the bes[ of my knowledge and belief, is true, wrrect
and complete as required by law, and is prepared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, SocLl Sec ' and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
being filed.) (1z.Cc"� •
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omre of BuyeN Signamre o/Bu}�er2/Spouse
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Prinledle,9olNomea/guverl SignDate(MM/OD/YYYY)
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�LastSdigitso(Buyer7Driver's Smte Las[SDigitsofSociol5ecunryNumber
License/I D/Other A'um6er
Pnn[ed Legal Name a(Bu}�er?/Spouse
slgn Date (x.N/o0/1'1YV)
Last 5 dlgiGS o�Buyer 2/Spouse Driver's Smte Last 5 DigiGS o�5ocial Securiry
Num6er License/lD/OtherNumber
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