HomeMy WebLinkAboutHomestead_Stiles (3)INDIANA SALES DISCLOSURE FORM SDP ID: Page 2
D.PREPARER
Preparer afthe Sales Disclosure Form
PO Box 13, 219-N. Hari St.
ress (.;'umber and Street)
Iceton IN 47670
City, State, and ZIP Code
E.
Title
Hall. Partenheimer & Kinkle
Company
£ -mail
her eacley
Seller 1 - Name as appears on conveyance document Seller 2 - Name as appears an conveyance document
PO Pox 212
Address (Number and Street) Address (Number and Street)
Francisco 47649
City,
E -mail I Telephone Number E -mail
Under penalties of perjury, I hereby certify that this 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 ".
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ijru mre of Seller Signature of Seller
CSherryBeasley
Printed Name o Seller 1. MM DD Printed Nome o Seller Sian Date MM DD
F. BUYER(SVISPANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Stechen C Stiles
Buyer I - Name as appears an conveyance document
Address (Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS
❑
✓ ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
401 S Center Street
Address (Number and Street)
Francisco IN 47649 Gibson
City, State ZIP Code County
Q ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
730 S. Hall Street
Address (Number and Street)
Princeton, IN 47670 Gibson
City, State ZIP Code County
Buyer 2 - Nome as appears on conveyance document
Address (Number and Street)
City, State, and ZIP Code
Telephone Number E -mail
THATAPPLY.
✓❑ ❑
Under penalties of perjury, l hereby certify that this 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 not necessary if no Homestead Deduction is
being filed.)
Nre of uyerl
Stenh aC Ct'lec 111041 Zol\
Printed Legal Name of Buyer 1�sign
Date (M.M/DD/Yln7
Last 5 digits ofliuyer l Driver's State Last 5 Digits of Social Security Number
License /ID /Other Number
Signature of BuyerZlSpouse
Printed Legal Name of Buyer 2 1Spouse
Sign Date (MM/DD/YYY1)
Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security
Number License /ID10ther Number