HomeMy WebLinkAboutHomestead_Wallace (19)INDfANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Preparero([he Soles Disclosvre Fonn
PO Box 13 219 N. Hart Street
res (Number arrd 5[reet)
�nceton IN 47670
Ciryt Smte, and Z7P CoJe
E.
Rocalae Kruge
Sel%r 1- Nmne asappeorram m�veyanre docvmen[
t S'19 Ascot Ghase
Addres (Number afrd Street)
Ciry, Smte, and ZIP CoJe
E-moil
r�ne
Hall. Partenheimer 8 Kinkle
Comyany
E-mail
os appeors on conveynnre doNmmt
Address �Number anJ Sveet)
Ciry•. Stote, anJ ZIP LoAe
E-maD
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
an�d plete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
V /'la'�fi�C ! s/ /�i3 .ci-_��
S{gnuNre a�5eller SignaNrc o% Sellrr
F.
Donald M. Wallace
Bu}�er }- Nome asnppenrs om m�veynnre documenr
520 E 38th Street
AJdrea (Nmnbe� ond SlreetJ
^ rion �N 46953
Smte, and ZlP Code
-
TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Huyer 2� Nmne as apprars on tonvirynnce dorumrnt
520 E. 38th Street
dJdress (Number unJ SlreefJ
Telephone Number E-mail
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEOUCfI0N5 FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
� ❑ 1. Will [his property be the buyer's primary
residence? Provide complete address of primary
residence,including counry:
110 N 4tormoM Street
Addres (Nmn6er and Stree(J
Princeton IN 47670 Gibson
Ciry.SmteZ/PCoAe ���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 munty:
520 E 381h Street
Addres(Numberand5treetJ '
Marion,IN 46953
Ciry, Smte ZIP �nde Counp•
� ❑
❑ �
❑ �✓
❑ �
❑ �
❑ 0✓
3. Homestead
4. Solar Energy Heating/Cooling System
5. Wind Power Device
6. Hydroelec[ric Power Device
7. Geothermal Energy Hea[ing/Cooling Device
8. Is this property a residential rental properry?
❑ 0 9. Would you like to receive tax sta[ements for this
property via e-mail? (Provide conmct informa[ion
belo�v. Please see ins[ructians for more information.
Not availa6le in all counties)
ato-►a-o�aby 600 ,a�s-oa�
Donald M. Wallace
nome
E-moil
Under penaldes of perjury, l hereby certlfy tha[ [his Sales Disdosure, [o 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 information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
being filed.)
�a-�t �� c.��--�. z r � 1� t �,:n.�. ����. k• �� o �.�
Nre o% Buyer] Signature o/Huyer2/Syouse
n..n��rV n� �N��lare I"nria l Wallara �T/��6 ��
PnntedlrgolNameo(Buye�} SignDate(.NM/UD/1'ril7 ➢nncedlrgulA'ameojBuyer2/Spouse � ��
Lasi 5 digi[s af Buyer 1 Dnver'
Number License/ID/OtherNumber