HomeMy WebLinkAboutHomestead_Wells (4)Vemer P. Partenheimer Attomev at Law
'PrepireroJNeSafa Diulasure Form TiUe
219 N Hart Street Hall, Partenheimer & Kinkle
Address (Nvmbar and Street)
E-mail
Sello 1 � Nameasapptarzw ronve}nnceduvmen[
Addres (Numberand Stree[J
Princeton_ IN 47670
�
Sella 2- Nameas appears m conveyanredocvmmt
Addr¢c (Number and5trmO
Ciry. smte, oed ZIPCode
Under penal[ies of perjury, i hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
✓' C'�t �. i,�./t.Q.P�
Signamreo(Srllu Signuo.reoJSeliu
Connie, lAlel�s (iy-io-ao/O
Buyrr 2- Nomeas appevrs m canveyanre document
372 S Stout Street
Add2o (Numbrland Stree[J Address (Number and Sa�J
Ciry, Sm[G and ZIPCode
THE SALES DISO.ONItE FORM MAY BE USfD TO APPLY FOR CFRTAIY DEDUCTIONS FOR THIS PROPERTY. IDEMIFY ALL Oi TNOSE THAT APPIY.
YFS NO COYDIT109
Q � 1. Will this property be the buyer's primary
residence? Provide complete address of E
residence, including county:
Address (Numberand SveetJ
Ciry,StateL Cade Counry
� 2. Does the buyer have a homestead in Indiana m be
vacared for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addres (A'umber and SbcetJ
Ciry, SWte Z1PCode Counry
� 3. Homestead
� �
� �
� �
� �
Sys[em
5. Wind Power Device
6. Hydroelec[ric Power Device
7. Geothermal Energy Healing/Cooling Device
8. Is [his property a residendal rental property?
9. Would you like to receive [au sta[ements for [his
property via e-mail? (Provide mn[a[[ informadon
below. Please see instructions for more information.
Not availa6le in all counties.)
_I� b% C.�.p�000. J,37-d�
ronmctname
E-mail
Under penalties of perjury, l hereby certify [ha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Proper[y Sales Disclosure Act". (No[e:
Spouse infor.mation, Social Security n Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
being file�.)1 � � �
,;.� V��,��,,, i
�.II s
S'gnamre o/Bvyc2/Spouse
%inted Legal Name of Buyc 2/Spouse
Sign Da4 (MM/OD/YYYf]
LastSd{qi[so�Buyer7Driver's Srnte Las[SDigi[
,� NumberLitense/1D/OtherNum6er