HomeMy WebLinkAboutHomestead_FurmanINDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER , _ .. �
J. Robert Kinkle
Prepc�r oJ'the Salu Disdowre Form
�t9 N. Hart Sl. PO Box 13
�(Numberand5[reet)
ton IN 47670
Ciry.Smte, and21➢Code
.harl .c W;tynP Nauman
Seller }- Nome as appeors on ronve}ance dacvmm[
1407 CMtonwood Drive
Addre.a (Num6era� 5[reetJ
Princeton IN 47670
ritle
Hall Partenheimer & Kinkle
Compony
E-mail
.lanP Ellen Neiiman
Seller 2-�1'ame asappears on ronveyance domment
1902 Cottonwood Drive
Addres (Number o�d Stree[J '
Princeton. IN 47670
Ciry, Stote, ond ZIP Code
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, �
and complete as required by law, and is prepared in accordance with 1 i
t�� �z�-/'�.��-?��.��. �.x
Signamreof5eller � Signa[ure
uyer 1- Name as /appearsy+�
i �n-fievrr-
Addres (Number ond Street)
' wbur�
imte, and ZIP Code
�. / �
best of my knowledge and belief, is true, correct
�1-�.5,,"fjqal Property Sales Disclosure Act".
APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDEN�'I�Y ALL ITEMS THAT APPLY
TNE SdLFS DISCLOSURE FORM PIAy gE USEU TO dPPLy FOR CERTAIN DEDURIONS FOR THIS
�✓ � 1. Will this property be the buyer's primary
residence? Provide complete address of F
residence, induding county:
417 HawthnmP Drive
Addres (Num6er ord StreetJ
Princeton IN 47670 Gibson
e�n�, smre zir eoae eou�ry
�� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
induding county:
Addreas (M1'umberond 5[reet)
Ciry, Smte ZIP Lade Counry
euyer 2- Name os appears on ronveyance dacumzn[
Addres (Number and Sveet)
Ciry.Sm[e. and ZIP Code
ALL OF THOS�ETFl�1T APPLY.
Q � 3. Homestead
nergy Heating/Cooling System
� �✓ 5. Wind Power Device
� ✓� 6. Hydroelectric Po�ver Device
❑ ✓� 7. Geothermal Energy Heating/Cooling Device
� �✓ 8. Is this properry a residential rental propercy?
� Q✓ 9. Would you like to receive tax sta[emenu for this
property via e-mail? (Provide contocr information
below. Please see instructions for more in/ormation.
Not available ' all counties.)
c�G -/�-o�. �a _o�SG�oa-��
Subashini T. Furtnan
conmrt nome E-moil
Under penal[ies o(perjury, l hereby cer[ify that [his Sales Disclosure, to the best of my knowledge and belief, is W e, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disdosure Ac[". (Note:
Spouse informati n, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filec�\ �J , �
C hach'n' T F rtnan 02I1R/i0� 1
Prin[
Number
License/ID/Other Num6er
Signamre a(Buyer7/Spouse
Pnn[ed Irgol A'ame a� Euyer7/Spouu
Sign Do[e (MAI/DO/YYYY)
Last 5 digirs of Buyer2/Spouse Dnver's Swte Last 5 Digi� o�5ocial5ecunry
Number License/lD/O[herNum6er