HomeMy WebLinkAboutHomestead_Boarman (2)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER- • '
J. Robert Kinkle Attomev
Preparerof the Salee Disdosure farm Tltle
PO Box 13. 219 N. Hart Street Hall. Partenheimer & Kinkle
Address (NUmber and Street) Company
Princeton.IN 47670
H-mall
E: SELLER S GRANTOR S � '
ThP Estata of LowPll WilldFu. Jr.. alkla Waltar L Wilkins. Jr.
Sellerl�Nameasap onc veyoncedocumen[ Seller2-Nameasappmrsonronveyvncedotum�
2 � s -�'-�.w,� -P.� 9s �
Addr (Numberond5vee[J A ress(NUmberand5veet)
-��^--r--� �� �/7s 9/ ( �n�,E, � .rJ ��ss«
❑ry,5rute,andZlP[ode �,Smte ondZlPG�de
��
E-mall
Under penaldes of perjury, t hereby cerdfy that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
�an complete as requir d b/� I/� w�,, an�d is�prepared in accordance with I% 6-1.1-�5.5, "Real Property Sales Disclosure Act".
�^�:n'�/��UC�Y-su^'— ��XI�c�G¢� �_
5(gna� e o/Se SlgnaNre o(Seller
Wavne Wil c Inc �p Co-Perc Re� 091241?01? Wanda ShuIL Unsup. Go-Pers. Rep. 09I24I2012
Pr/ntedNamea Seller SianDate MM D PrintedNameo Selfer 5! nDarefMM/DD
. . . . . . . . _ _ . . .. .
F. BUYER S GRANTEE S- APPLfCAT10N FOR PROPERTY TAX DEDUCTIONS- tDENTIFY ALL ITEMS THAT APPLY
Mark A. Boartnan
, 1- mrs on ronveyanre documm[ Buyer 2- Name as appears an ronveyan¢ datumen[
102 W. Oak Sl.. Apt. D
Address (Numberand Street) Addrecs (Number and Stree[)
Fort Branch.IN 47648
Clry, Srore, and ZIP Cade pty, 5[o[e, and ZIP lode
`�
E-mall Tele honeNumber E-mall
TNE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CE0.TAIN DEDUCf IONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDRION FS NO CONDRION
� ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary 4. Solar Energy Heatlng/Cooling System
residence, including county: � �
?O6 W- John Street 5. Wind Power DeviCe
Addres(Numberand50-ee[J ❑ Q 6. HydroelecMc Power Device
Fort Branch IN 47648 Gibson � 0 7, Geo[hermal Energy Heating/Cooling Device
Lity, Smte ZI➢COde Caunry
❑ 0 2. Does the buyer have a homestead in Indiana to 6e � � $• �s this property a residentlal rental property?
vacated for [his residence? If yes, provide ❑ � 9. Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contoct information
including county: below. Please see instructions for more injormation.
No[ availa6le in all counties.)
Addrev (NUm6er and Sveet)
MarkA.Boarman d6 /�-/.j-yol.-�00•86�-u1.�
Ciry, Smte ZIP Code Counry
PrlmaryPmperryawnermn[actname E-mall
Under penaltles of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is trve, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Drive�'s License/Other numbers are no[ necessary if no Homestead Deductlon is
being filed.)
�%k � I'.�;. ,�..
� Sign Nreo(Bvyerl SlgnaNreo/Buyer2/Spouse
Mark A Rnarman 091�417(11?
PrintedLegalNamea/Buyerl SignDare(.wa/OD/Ym'J PrYntedLegalNameajBUyer2/Spouse S{gnDa[e(MM/DD/YYYij
�
Sacial5ecuriryNumber LastSdigitso�Buyer7/SpovseDriver's S[ate LastSDigiao%SodalSecurity
License/ID/OCherNum6er Num6er License/!D/OtherNUm6er