HomeMy WebLinkAboutHomestead_Wood (13)INDIANA SALES DISCLOSURE FORM SDF ID: Pa�e 2
D.PREPARER
J. Robert Kinkle
Preparero/the Salu Disrlawre Form
219 N. Hart SL. PO Box 13
ires (Number aM S[ree[J
.�nceton.IN 47670
Ciry, Smte, ond ZIP Code
E..SELLE
Sel/er I- Name osappearsom m�ve�vnce docvmen[
5M W. Monroe
Addres (Num6er a �d Stree[J
Ciry.
���
TiHe
Hall Partenheimer 8 Kinkle �
Compony
Telephone Number Email
Seller 2- Norne as appeors on mm•e�vnce documen[
Address (Number and Street)
Prinreton IN 47670
E-muil
Under penal[ies of perjury, l hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
a lete s q red by law, and is prepared in accordance with 1.1-S.S, "Real Property Sales Disclosure AcC'.
�i-� � t`��� `E...� � �� ,� �c---�
ignaNre a�5eller Si�ure oJ Srllrr
- APPLICATION FOR PROPERTY TAX
m ronveyance domment
505 Brownlee Avenue
Addres (Number wM StreetJ
ond ZIPCode
�
THE SALFS DISCLOSURE iORM MAY BE USED TO APPLY FOR CERTAIN OEOI1CfI0N5
�✓ � 1. WiII this property be the buyer's primary
residence? Provide complete address of pri
residence, including county:
dddres (Nun�Ler and Sfreef)
Princeton IN 47670 Gibson
Ciry. Sru�e ZIP Code eo��n.
�� 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:
505 Brownlee Avenue
Addres (Number ond Street)
Princeton,IN 47670 Gibson
Liry.StuteZlPCwle County•
)
Tele honeNumber E-muil
OPERIY. IDENfIFYALLOF ETHATAPPLY.
YFS �0 COHDITIOM1
Q✓ � 3. Homestead
,/ 4. Solar Heating/Cooling System
'nd Power Device
❑ ❑✓ 6. Hydroelechit Power Device
❑ Q✓ 7. Geo[hermal Energy Heating/Cooling Device
� �✓ 8. Is this property a residential rental property?
❑ ❑./ 9. Would you like ro receive �ax sta[ements for this
properry via e-mail? (Provide contoct information
belo�v. Please see instructions for more inforrnatiori.
Not available in all coun "es.J
o?� -i� -� � 303-� � ��- oa�
Robert M. Wood 8 MacKenzie J. Cochran
owner mnmct name
Under penalties of perjury, 1 hereby cer[ify tha[ this Sales Disclosure, to the best of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 6-1.1•S.S, "Real Property Sales Disclosure AcC'. (Note:
Spo e information, Social5 curity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
b in �led.). �
/�..:,/ M- � /�3 ��-� ����U��;�. � � �\4������� � -��-� ���
Pnn[ed I.egal Nanre of Bu}rr 1 Sign Da[e �MH/DO/IIYYj
Last 5 digi6 o�Buyer 1 Driver's State Last 5 Digiu ojSonalSecuriry Nmnber
Lirense/lD/O[her Number
Last 5 digiGS o%Buyer 2/Spouse Driver'S Sm[e Los[ 5 DigiGS ofSo[iol Securlp�
Number Lirense/ID/OtherNum6er