HomeMy WebLinkAboutHomestead_Kidd (3)INDG:NA SALES DISCLOSURE FORM
Preparero(the Sales Disdosure Form
Addras (Number and Stree[J
SDFI
TiGe
Hall Partenheimer 8 Kinkle
Company
Princeton,IN 47670
E-mail
E:SfiLLER S GRANTOR S - >...: .'_ .. `' ' � �' - ' '
Luther Eugene ' ht Bosa�ee McOueen Wright
Se1/er ]- Name as appears on ronveyanae dxument Seller 2- Name os appeors on conveynnce dxumml
dddress (Number ond Sveet)
Address (NUmber and Sveet)
Fddwille. KY 4203A I�wille KY 42038
Ciry, SmIG andTlPCOde Ciry, Smle, and7lP Cade
Under penal[ies of perjury, I hereby certify that 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 wi IC 64�i-S.S eal P. operty Sales Disclosur AcY'.
�� ��.�.fl i.��.� • � .�R3�r �� ;/ ��/_Pi� /.(�% ��,�
�namreo(Seler " 6� 22 -// � Sr tyreafS le[, � ' /� �
i _, c I \ /— idS1�_'S /�.3//� r-!I �.. /�.././„ �6'ln
Buyer 1
andZlPCode
iNH SALFS DISCLOSURf FORA1 MAY BH USHD TO dPPLY FOR CHRTAI\
�✓ � 1. Will this property be the buyer's primar
residence? Provide complete address of
residence, including county:
Address (Mumlw artd SveetJ
Ciry, Smte ZlP Cade Counry
� ✓� 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? Ifyes, provide
complete address of residence being vacated,
induding county:
Addras (Number and StreeQ
Ciry, Smte LP Code Counry
,BUyer2-Nameasappearson mveyoncedacumen[
Street
Address (A'umber and Street)
Princetnn, TN 47670
Ciry, Smre, andL7COde
YFS SO CO\DIT10\
� � 3. Homest
APPLY.
Heating/Cooling System
� �✓ 5. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geothermal Energy Heating/Cooling Device
� �✓ 8. Is [his property a residential rental property?
❑ Q 9. Wou�d you like to receive tas statements for [his
property via e-mail? (Provide contact informotion
6elow. Please see instructions for more informa[ion.
Notavailablei allcouniies.
�lo -/o?-O%/OS�-OUo3 0�3-�0��
rancis P. fi Ruth Kidd
owner ronma name
E-mail
Under penalties of perjury, I hereby certify that [his 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, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
LastSdigiaojBuyerlDriver's Smte LastSDigiaaf5ocia15ecunryNum6er
Licente/ID/Other Number
�t� ��/�
� n�{�'reo(Buyer2/Sp{o�use _/
—�� "�T �i / \ � �CY
LastSDigicsojSocialSecunry
Num6er Lirense/lD/OtherNumber
�