HomeMy WebLinkAboutHomestead_Mathew (2)INDIANA SALES DISCLOSURE FORM SDF ID:
J' Robert Kinkle
Preparer of [he Solw Disdosure Form
��9 N. Hart St. PO Box 13
�re.s (Number and S[reefJ
Princeton IN 47670
City, Smte, and ZIP Code
E.
MatthPw R Stoll
Seller 1- Name as appears an [om�e}�ance domment
'10�+ S Vnnna Lane
AAdreo' (Number ond StreetJ
Title
Hall. Partenheimer & Kinkle
Lampany
E-mail
Steohanie R. Stoll
Seller 2- Name os appevrson conveyonce documen[
Address (Number md 5[ree[)
Haubstadt IN 47670
Ciry, Sta[e, anJZIPCale
E�mail
Under penalties of perjury, l hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and compl te as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Proper Sale�Disclosure Act".
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SignoNreofSeller Signo eo(Seller
F.
Buyer 1- Name as appears om m�veyonce dacument
6207 W.State Road 68
Addres (Num6er ond Streef)
'hiana Indiana 47612
'
FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Buyer 2- Name as appevrs om m�veyonre documen[
Address (Number and 5[reet/
Ciry, State, and ZIP Code
E-mail
THE SALFS DISCLOSURE FORA1 MAY BE USED TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
NO CONDITION
Q ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including counry:
105 9 Vonna Lane
Addres (Num6er ond StreetJ
Haubstadt IN 47639 Gibson
Ciry, Stnfe ZIP Code LounN
� ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? IFyes, provide
complete address of residence being vacated,
including county:
6207 W. State Road 68
dddres (Number and Street)
Cynthiana Indiana 47612 Gibson
Liry, Sm[e ZIP Code Counry
0 ❑ 3. Homestead
❑ Q 4. Solar Energy Heating/Cooling System
❑ ❑�/ 5. Wind Power Device
❑ � 6. Hydroelec[ric Power Device
❑ � 7. Geothermal Energy Heating/Cooling Device
❑ ❑✓ 8. Is this property a residential ren[al property?
❑ 0 9. Would you like to receive tax statements for this
property via e-mail? (Provide conmct information
belo�v. Please see instructions for more informa[ian.
Nat available in all counties.)
a�-�$136 -�fa3 oov �5b oo�
Patriaa Mathew, Life Estate
name E�mail
Under penaltles of perjury, I hereby certlfy that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informadon, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
being )
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aNre of BuyeN Signomre a(Buyerl/Spouse
Pafr'r'o AA�fhow �$/ % /2n12
Pnnred Legal Nome o/Buyer ] Sign Da[e intxl/oD/Yn'1')
Dmer's Smte Last S Digits of SanalSecuriry Number
Lirense/ID/O[her Num6er
Printed Leyal Nmne of Buyer 2/Spouse
Sign Date (ma/oo/vY'YY)
Las[ 5 digl[s of Buyer 2/Spouse Driver's Smte Las[ 5 Digits ofSocial Securiry
Number Lirense/ID/OtherNum6er