HomeMy WebLinkAboutHomestead_Mason (23)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER
J. Robert Kinkle Attomev
Reparerof lhe Svic �lsdnsure Form Title
219 N. Hart St. PO Box 13 Hall. Partenheimer & Kinkle
Address(Num6erand5vee[) lonrpony
Princeton IN 47670
E-mail
E.SELLER S GRANTOR S
la�c F StPnhens
Seller 1� A'ame as oypears am m�ve�nnce dxm�rnl Sellcr 2- Nanre os appevrs on mwry�once dxument
106 E Oak Streat
Addrat (Numberand Stree<J dddress (Num6er ond StrretJ
PrinrPton IN 47670
Liry Smta and Z/PCade ��N. Smte, and 21PCOde
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E�mnil TdenhoneNumbm E-moil
Un�r penalties o per , hereby certify tha[ this Sales Disdosure, to the best of my knowledge and belief, is [rue, correct
and �ete s requir b ,w and is prepared in accordanre wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Ac[".
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Si na �reaf5eller Signohrreo(Seller
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-[edNomeo $elle� Si^ DafeOW/00/YYYYI PdnledA'amPO(Selle� SipnOa[c1AAI DD/IYYII
� F. BUYER S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Linda M Mason
8uyer 1� Name os appeurs on ronveyonre doaument Nu��er 2� Nnme os appeun on ronceynnce Jxument
823A E. State Street
Addras (Number ond Stree<) AJdresa (Nvm6erond5lreetJ
Princeton IN 47670
Tele honeh'um6er E�mail Telr honeNumber E�mail
THE SALES DISCLOSURE iORN AtAS' BE USED TO APPLY FOR CERTAI\ DEDUCf10\5 FOR TNIS PROPER HAT APPLY.
YFS 10 LOSOITIOY Y .�'O CONDITION
❑J � 1. Will this proper[y be [he buyer's primary �❑✓ ❑ 3. Homes[ead
residence? Provide comple[e address of primary � 4. So ar nergy eating/Looling System
- residence, including county:
tnF F nak tr t ❑ ✓❑ S. 4Vind Power Device
Address/NvmberandStreeQ ❑ J❑ 6. Hydroelectric Power Device
Princeton. IN 47670 Gibson � � 7. Geo[hermal Energy Hea[ing/Cooling Device
�Ury, InreZIPCode Covnry
Q 2. Does [he buyer have a homes[ead in Indiana [o be � �❑ 8� �s [his proper[y a residen[ial rental property?
vacated (or [his residence? I(yes, provide ❑ ✓❑ 9� �'vould you like to receive tax sta[ements for this
comple[e address of residence being vaca�ed, property via e-mail? (Provide conmd in%rmation
induding county: belaw. Please see instructions for more in�ormation.
� 1� e.$T�/� ST � nbt available in all rounfies.)
aadJ� �(NumberanJSVeeIJ (� ,f, a�_,a-G��v a���5oag
�///�� .cJ% �L�''v /`� ( �G'�" Linda M. Mason
Liry, Slate ZIPCede Caunry
Rinrary pmNerry mmermnmct name E-mail
Under penalties of perjury, I hereby certi(y tha[ this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
b ' g_filed,J
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Signoture of Buyer] Sigmmre o/ Buyer2/Spouse
nri��A �A�cnn � %—��i �-L��{
Las[SdigitsofBuyer2/SpouseDnver's Smte LasrSDigitsofSonalSecunry
Lirense/ID/OtherA'um6er � Number License/ID/OlherNum6er