HomeMy WebLinkAboutHomestead_Woods (9)ID:
D.PREPARER
J. Robert Kinkle
Prepare� a�the Sales Disdosure Form
�+9 N. HaR St. PO Box 13
'ress (Num6e� and Stree[)
, ceton IN 47670
Ciry•, Smte. and ZIP Code
Janet K MrRobarts TimhPrlake
Seller I- Name at appears on conveyanre domment
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Address(Numberan 5 ee[J
' / ��
�1d6q.,�.�LYXG. G
unt
Title
Hall. Partenheimer & Kinkle
Company
E-mail
James David McRoberis
Seller2-A'or easap earson onvevasedocumem
� 1�
Ad re ( umberandSveel ^ a
� , '/
City.S te.andZlPCode` /
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 law, and is prepared in accordance � t IC 6-1. 5. "ReaJ-�ipperty Sales Disclosure Act".
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gnaNreafSeler ignomreof eller , .
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ON FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
]�Nomeasappears
Address (Numberond Sveec)
ceton IN 47670
Sm[e. and ZIP Code
,.�_
TNE SALES DISGLOSURE FORM MAY BE USED TO APPLY FOR CF.RTAIN DEDUCTION$ FOR THIS
Q� 1. Will this properry be the buyer's primary �
residence? Provide comple[e address of primary
residence, including county:
91R W C;IPndale Street
Address /Number ond 5[ree[)
Princeton IN 47670 Gibson
Cin, Sro[e ZIP Code Counry
�� 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 coun[y:
Addres (Number nnd Sveet)
Ciry�. Smte Z/P Cade Counry
Buyer 2- Nome as apyears m ronv¢yance domment
Address (Number ond SneetJ
Ciry. Smte. ond ZIP Code
E maii
APPLY.
3. Homestead /
4. Solar Energy Hea[ing/Cooling System
5. Wind Power Device
� ✓Q 6. Hydroelectric Power Device
❑ ✓� 7. Geothermal Energy Heating/Cooling Devire
� Q 8. Is [his property a residen[ial rental property?
� ✓� 9. Would you like to receive tax statements for this
property via e-mail? (Provide contoct injornmtion
below. Please see inscructions jor more information.
Not availa6le in all counhes.
��-ia-6�� y �i q� oa �
Bradlev J. Woods
Pnmop�pmPe�ryownerconmctnome t Email
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, 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 Disdosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/0[her numbers are not necessary if no Homes[ead Deduction is
being filed.)
�Nre of Buyer]
Rranla�r I Wnnric
R-lnted Legal NameofBuyer I Sign �a[e (MM/OD/YI'YY)
Signomre o(Buyer?/Spouse
Pdn[ed Legal Name o(Buyer?/Spouse
Sign Da[e (M.H/DD/YYYI)
LastSdigiCSOfBu}'er7Driver'S 5[a[e LastSDigitso�SocialSecuriNNumber LostSdigiGSOfBUyer2/SpouseDriver's S[a[e LastSDigiao(SocialSecunty
License/ID/OtherNum6er Num6er License/ID/OtherNumber
INDIANA SALES DISCLOSURE FORM SDF ID: • PaRe 2
D.PREPARER
J. Robert Kinkle
Preparer oJ[he Sales Disdasure Fortn
�9 N. Hart St. PO Box 13
�e.a (Num6er and Sheet)
ceton.IN 47670
CiN.Smte and ZlP Code
E.
Delores Jean McRoberts Harrington
Se(ler]-Nameasappeorsonronveyance mmen[
S� � � 1,( ) �
dres(Numbe�and vee[J ' /�/
PAIS(�II�P� �.t�l `fll�nS
��'���andZlPlode ��� _���
F.
Name
ofp�rju 1 he y certi� tJfat this
r�qwd a�y, an�i is IS��are�tifl
�C�,J����Pv
Buye� I- A'ame ns nppeors om m�veynnre document
1510 Cottonwood Drive
Addres (Number and So-ee�)
�ceton IN 47670
irute, and ZIPCode
Title
Hall. Partenheimer 8 Kinkle
Lampany
812-386-0050
Telephone Number E�moil
Seller 2� Name as appears on conveyanre dxumen[
Address (Number and Street)
City, Smte. and ZIPCod¢
sure, to the best of my knowledge and belief, is true, correct
with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
Signamre of5eller
TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Buyer 2- Name as appearY on ronveyance dxument
Address (Number and Stree[)
liq•. Smte, and Z/P lode
E-mail
TNE SALES DISCLOSURE FORM DiAY BE USED TO APPLY FOR CERTAIN DEDUCfi0N5 FOR TNIS PROPERTY. I �E.YTIFY ALL OF THOSE THAT APPLY.
Q � 1. Will [his property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
?18 W Glendale Sireet
Address (Number a nd So-eet)
Princeton IN 47670 Gibson
Cin•, Smte ZIP Code Counry
�� 2. Does the buyer have a homestead in Indiana to be
vacatedfm-this residence? Ifyes,provide
complete address of residence being vacated,
including county:
Addres (Numberand Stree[)
Cih•, Smte ZIP Code Lounry
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3. Homestead
4. Solar Energy Heating/Cooling Sys[em
5. Wind Power Device
6. Hydroelect�ic Po�ver Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residentlal rental property?
9. Would you like to receive tax statements for this
properry via e-mail? (Provide conmct information
6elow. Please see instructions for more information.
Not available in all counties.)
Bradley J. Woods
owne� ronmct name
E mail
Under penalties of perjury, I hereby certify [hat this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in acwrdance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduc[ion is
be'ngfile ,)
1��13�10
[u uyer] Signamreo(Buyer2/Spouse
1/�/()()()c
Last 5 digiu of Buyer 1 Oriver's Smte Las[ 5 DigiGS a(Social5ecurity Number Last 5 digiGS o�Buyer 2/Spouse Driver's State Last 5 Digits o�5ocia/5ecurity
License/ID/OtherNum6er Num6er License/ID/OtherNum6er