HomeMy WebLinkAboutHomestead_Adams (2)INDIANA SALES DISCLOSURE FORM
ID:
D. PREPARE�: ' � �
J. Ro�ert Kinkle
Preparer of the Salu Disdosure Fonn
�N. Hart St.. PO Box 13
rest (Number and Street)
Princeton.IN 47670
Cirv.Smte, and ZIP Code
E.
Seller 1- Nome as appears on mm�eyonce dommen[
110 3rd Avenue
Address (Number and Smee[)
Princeton IN 47R70
Attornev
Jide
Hall. Partenheimer & Kinkle
lompany
Telephone Num6er
Seller 2- Name as apPears om m�veyonce dotument
110 3rd Avenue
Address (Nomber and Street)
�
E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosu , to the best of my knowledge and belief, is true, correct
and complete as reqmre by law, and is prepared in accordance wi 1 6.1- "Re I Pr erty Sales Disclosure Ac[".
��, _�- ,z -�-,� � - -
Signamreo�Seller I Signa. o r
Trivtan S Stoelb
TION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL 1TEMS THAT APPLY
ronvevance aocumen�
Addres (A'umber ond Sveei)
�roe Citv iN 47557
THE SALES UISCLOSURE FORM AIAY BE USED TO APPLY FOR CERTAIY DEDURIOYS FOR THIS
✓Q � 1. Will [his property be [he buyer's primary �
residence? Provide complete address of primary
residence, induding county:
770'�rdAv niP
Address (Number and Stree[J
Princelon IN 47670 Gibson
cin�. smte zlv code [ounry
�� 2. Does the buyer have a homes[ead in Indiana to be
vaca�ed for this residence? If yes, provide
complete address of residence being vacated,
including couniy:
Address (Number ond Street)
Ciry.Sm[e ZIP Cade Counry
euyer 2- Name as appears om m�veyance documen�
Address (Number and StreetJ
City, Smte, and ZIP Code
E-mail
0❑3.
THOSE THAT APPL1'.
Ener� Heating/Cooling System
S. Wind Power Device
� ✓� 6. Hydroelectric Power Device
❑ �❑ 7. Geothermal Energy Heating/Cooling Device
� ✓� 8. Is this property a residential rental property?
� ✓� 9. Would you like to receive tax statements for this
property via'e-mail? (Provide contact in�ormation
below. Please see instructians for more injormation.
Not available in all counties.)
oZ�-� I-i2�-/o�-bco. s�8-oa�
ChadA.Adams
Pnmary properry owner mnmct name £�mail
Under penal[ies of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance �vith IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)�
,.�amr�
('had A Adamc ������
9gna[ure a(Buye2/Spovse
Pnnred Legal Kame o/Bvyer7/Spouse
Sign Date (MM/DD�
LaslSdigitso�Buyer2/SpouseDriver's Smte lastSDigiGSOJSotial5ecuriry
Number License/ID/OtherNumber