HomeMy WebLinkAboutHomestead_ZollarsINDIANA SALES DISCLOSURE FORM SDF ID: Pa�e 2
D.PREPARER
Preparer o/ the Sales Dittlosure Farm
219 N. Hart Sl.. PO Box 13
+ddrev (Number and StreefJ
�ceton IN 47670
Ci9t Smte, and ZIP Code
E.
Seller ]- Name as oppears om m�ve}vnce documenr
905� I amolioht Road
Addres (Num6er ond S[ree[)
Balle Rive IL 62810
Attornev
rtle .. . '
Hall. Partenheimer & Kinkle
Componv
Trlephone Number
Seller 2- Name as appears on ronveyonre domment
Address (Number and 5[ree[J
Ciq�, Smte, unJ ZIP Code
E-mail
Under penaides of perjury, I hereby certify tha[ this Sales Disclosure, to [he bes[ of my knowledge and belief, is W e, correct
and c�e as required bny la�w�], and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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E SignaNreo(Seller Signotureo/Seller
Alan R Rnhhinc 8-i�- ao�.�
-APPLICATiON FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Buyer 1 - Name asappears
410 W. Elm Street
Addres (Number orM Srreet)
Oakland Citv IN 47660
H+ryer7 - Nanm os oppears on mmryance dorument
AdJress (Number ond Stree[)
Ciry•, Sfote aud Z(P Code
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCfI0Y5 FOR THIS PROPER7Y. IDE,YTIF1' ALL OF THOSE TNAT APPLY.
NO CONDITIOY
� ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including counry:
410 W Elm Gheet
Addras (Num6er orrd Sneet)
Oakland Citv IN 47660 Gibson
Ciry.Smte ZIP CaAe Launry
❑ ❑' 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:
Addres (i\'umber and 5[ree[J
lity, State ZIP Code ����iY
� �
■ lJ
3. Homes[ead
4. Solar Energy Heating/Cooling Sys[em
❑ Q 5. Wind Power Device
❑ � 6. Hydroelectric Power Device
❑ � 7. Geothermal Energy Heating/Cooling Device
❑ ❑✓ 8. Is this property a residen[ial rental property?
❑ � 9. Would you like to receive tax statements for this
property via e-mail? (Provide caitact information
below. Please see instructions for more informntion.
Not available in alI counties.)
a�-��►-I�s'-3o300 ►.�oo�o�
:onald E. Zollars
E-moil
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
aud complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure AcY'. (Note:
Spouse information, Social Security and Drivers License/Other numbers are not necessaty if no Homestead Deducdon is
beingfiled.) o`'��
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IN
Las[ 5 digiGS oJBuyer ] Driver's State
Number License/lD/OtherNum6er