HomeMy WebLinkAboutHomestead_Gray (3)INDIANA SALES DISCLOSURE FORM SDF ID:
I
J. Robert Kinkle
Preparer of the Sales Disclosure Form
Pry Box 13 219 N. Hart St.
s'(Numberand Street)
nnceton. IN 47670
City, State, and ZIP Code
E.
Title
Hall Partenheimer & Kinkle
E -mail
rerald Bray
Seller 1 - Name as appears on ronveyance document Seller 2 - Name as appears on ronveyance document
PO Box 37
Address (Number and Street) Address (Number and Street)
Oakland City IN 47660
E-mail I Telephone Number E -mail
Under penalties of perjury,) hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co lete as r qt i ed law, at is prepared in accordance with IC 6- 1.1 -5.S, "Real Property Sales Disclosure Act ".
5' not re tiler Signature of Seller
F. S) /G EE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
document
12654E 150 S
Address (Number and Street)
'and Cit IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS
CONDITION
❑ 1. Will this property be the buyer's primary
residence? Provide complete address of prima
residence, including county:
Addrw (Number and Street)
Oakland City, IN 47660 Gibson
City, State ZIP Code County
❑ 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:
12654E 150 S
Address (Number and Street)
Oakland City IN 47660 Gibson
City, State ZIP rode Count•
Buyer2- Nan,eusappe monconveyancedocument
Address (Number and Street)
City, State. and ZIP Code
0 ❑ 3.
THATAPPLY.
ergy Heating /Cooling System
❑ ❑✓ S. Wind Power Device
❑ 0 6. Hydroelectric Power Device
❑ 0 7. Geothermal Energy Heating /Cooling Device
❑ [0 8. Is this property a residential rental property?
❑ 0 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
Not available in all counties.)
pn Gray ,boa- aoo.aG7 �
oan Gray
owner contact name
Email
Under penalties of perjury,) hereby certify 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 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
Signature of Byer21Spouse
Printed Legal Name of Buyer 2 /Spouse Sign late lMMIDD/YYYYI
Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security
Number License /ID 10ther Number