HomeMy WebLinkAboutHomestead_Lewis (8)INDIANA SALES DISCLOSURE FORM SDF ID:
J. Robert Kinkle
Preparero/rhe Sales Disrlosvre Form
219 N. Hart St. PO Box 13
ires(Numberand5treet)
.,iceton.IN 47670
Gty, Srn[e, and ZlP fnde
RohPrt L McDaniel Revoca6le I ivingJmst graPmPnt dtd 11-5_04
Sel/er ]- Nome as appears on ronveyonce document
1843 F. State Road Fi4
Addres (Num6er ond Stree[J
Prinreton_ IN 47670
Ciry.
P-muil
Title
Hall, Partenheimer 8 Kinkle
Lompony
Seller 2- Name os oppevrs on ronveyanre documml
Addre.ss (Number orxl5treef)
City, Smre, and ZIP �nde
Number
E moil
Under penaldes of perjury, I hereby certify U�at [his Sales Disclosure, [o [he best of my knowledge and belief, is true, correct
and co�e e a r� i� by lap� prepared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
0
Signaol oj5eller SiynaNreaJSeller
-APPLtCATTON FOR PROPERTY TAX DEDUCTfONS- IDENTIFY ALL ITEMS THAT
�otvmen[
808 S Race Street
Addres (Numberand 5[reet)
r�nceton IN 47670
Smte, and ZIP Cade
Buyer Z- Name as appeurs m ronveyonce dommrnf
AJJress (Number and StreetJ
Ciry, Smte, ond ZIP Code
TNE SALFS UISCL0511RE FORM MAY BE USED TO APPLY FOR CERTAIN DEOURIONS FOR TNIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
✓Q � 1. Will this property be the buyer's primary
residence? Provide complete address of prim
residence, including county:
Addrcs (Number ord Street)
Princeton IN 47670 Gibson
�City, Smte ZIP fade Counp•
� Q 2. Does the buyer have a homesread in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
5�r��,
City, Smte ZlP Lode Counry
NO COY�I770K
� 3. Homes�
❑ 0
❑a
❑ �❑
❑ �❑
�r Energy Heating/Cooling System
�
S. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential rental properry?
� ✓� 9. Would you like to receive tax sta[ements for this
property via e-mail? (Provide cmitoct in�ormation
belo�v. Please see instructions for more injorrnation.
Not available in all counties.)
� _ �a-o � ao� oo,. 9a9-o��
Mi y D. Lewis _
Under penaldes of perjury, l hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and tomplete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informadon, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
�_ i ' �.
Nre a(Buyer] Signarore a� Bu}�er2/Syouu
Travic R Lewis
Number Last 5 digi[s o�Buyer 2/Spouse Driver's Stnte Los[ 5 Digiu o%Social Setunty
Litense/ID/OtherNum6er Num6er License/ID/OtherA'um6er