HomeMy WebLinkAboutHomestead_JoyceINDIANA SALES DISCLOSURE FORM SDF ID: Pa 'e 2
D:PREPARER� :':° , �._, , _
J. Robert Kinkle Attomev
Preparer o/[he Sala Disdosure Form Ttle
PO Box 13. 219 N. Hart St. . Hall. Partenheimer & Kinkle
Address (Number and Street) Company
Pnnceton.IN 47670
E-mail
E. SELLER S GRANTOR S� - • •
Jamie L Miiey nik/a Jamie L Naas
Selfer 1� Name as appearson conveyonce docvment Sd/er 2� Name at appears an ronveyanre domment
��i S E85iVIP.W SflP.P.f
Addras (Numberand Sbee[) Addres (Number ond Street)
Fort Branr.h_ IN 4764A
���
Tele honeNUm6u E-mail Tele honeNumber E�mail
Under penalties of perjury, 1 hereby cer[ify [hat this Sales Disclosure, to [he best of my knowledge and belief, is tne, correc[
and co �as� �qui�p���aw, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
/!lle, ( l a
5(qnaNre o(Seller 5{qnoNre a(Shcer
Jamie L Miley nikla Jamie L Naas 12/19/2012
PnntMNamea Sd/er SianDare xx D PnntedNameo Shcer SpnDUt! MM D
� F. BUYER S GRANTEE S-APPCICATION FOR PROPERTY=TAX-DEDUCTIONS- IDENTIFY ALL ITEMS-THAT APPLY ��
Kara Jovice
Bvyer 1� Name as oppears m ronveyanre dxument Buyer 2� Name as appears am m�veyunce doaument
112 N. Race Sireet
Addres (Num6er and StreeQ Address (Number and Stree[J
Haubstadt.IN 47639
Ciry, Srace, and ZIPCade City, Stotg and ZIPCode
�
Tefe honeNum6er E-maii Tele honeNUmber E-mail
THE SALFS DISCLOSURE FORM A1AY BE I1SED TO APPLY FOR CERTAIY DEDUCI'IOYS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLV.
YES YO C08UITION I YFS NO CONDITIOY
� ❑ 1. Will [his property be the buyer's primary Q ❑ 3. Homestead
residence? Provide comple[e address of primary � 0 4. Solar Energy Hea[ing/Cooling System
residence,includingcounty: � �
311 S Fastview Street S. Wind Power Device
Addrgs(Num6erand5treet) ❑ Q 6. Hydroelectric Power Device
Fort Branch IN 47648 Gibson � � 7, Geo[hermal Energy Hea[ing/Cooling Device
Ciry. Smte ZIP lode Counry
Q ❑ 2. Does the buyer have a homestead in Indiana to be � � 8� �s [his property a residential rental property?
vacated for this residence? If yes, provide ❑ � 9. Would you like [o receive tax statements for this
compiete address of residence being vacated, property via e-mail? (Provide conta[t information
including county: 6elow. Please see instructions for more informa[ian.
112 N. Race Street Not availo6le in afl counpties.)
Addres(Numberand5treet) a�,-� 9- � 4-, o� 600 $ p� o a b
Haubstadt IN 47639 Gibson Kara Joyce
[iry, Smre ZIPCode Caunry
Pnmarypmperryawnertonmctname E-mail
Under penalties of perjury, I 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 64.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.
ti,t�� �j c e__
Signamreo(Buyerl 5(gnotureofBuyer2/Spouse
Kara InyfP 1Z/19IZO17
PnntedLegalA'ameo(Buyr11 5� OU!¢(MH/pD/YYYI') PnntedLegalNameo/'evyer2/Spouse 5{gnDare(aa/DD/YYY17
iN �
LastSdigiaofBuyer7Driver's Srnte LastSDigitso%SocialSecurityNumber Las[SdigitsofBuyer2/SpouseOnver's 5[a[e LastSDigiGSOjSacialSecunty
License/!D/OtherNum6er Number License/ID/OtherNumber