HomeMy WebLinkAboutHomestead_Pollock (8)INDIANA SALES DISCLOSURE FORM SDF ID: ' Pa e 2
D.�PREPARER �- '= r. �. ` -�` �' .�+�.' - -
J. Robert Kinkle Attamev
Preparer of the Salu Dirdosure Form Title
O Box 13. 219 N. Hart Street Hall. Partenhiemer & Kinkle
ras(Numberond5treet) Compony
r inceton.IN 47670
Clty, Smre, and ZIP Lade Telephone Number E-mail
E. SELLER S GRANTOR S . "s " � `� - -
Susan J. Pauley
Seller 1� Name as oppevrs an conveyvnce dacument Sel/er 2- Name as appmrs on conveyance documen[
?Ofi Hardin9 Avenue
Address (Number and Svee[J Address (Number and Strre[J
Princeton IN 47670
E-mail Tele honeNumber E-mail
Under penalties of perjury, t hereby cerbfy that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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Slgnamre o/Seller 5(gnamre af5eller
9usan.l Pauley 12/20I20�2
Mnted Name o Sellrs Slon Oore (N,N/DD Prinred A'ome o Sel/er Si n Da[e NM/DD
F: BUYER S GRANTEE S-APPCICATION-FOR PROPERTY TAX DEDUCTIONS= IDENTIFY AtiL ITEMS THAT APPLY• :" r'
Mae Louise Pollock
Buyrer 1� Name as apPevrs on ronveyanre domment Buyer 2- Nome as appears am m�veyanre dxummt
907 S Jefferson Street
Address (A'umber and Street) Address (Num6er ond Stree[)
nceton. IN 47670
E-mail Tele honeNUmber f-moil
TNE SALES DISCLOSURE FORM MAV BE USED TO APPLY FOR CERTAIN DEOUIf IONS FOR THIS PROPERTY. IDENTIFY.ILL OF THOSE THAT APPLY.
YES NO CONDITION 1'FS NO CONOITION
Q ❑ 1. Will this property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complere address of primary � � 4. Solar Energy Heatlng/Cooling Sys[em
residence, including county:
20fi Harding Aven� P ❑ �✓ S. Wind Power Device
Add�ess(Numberand5treet) � Q 6. Hydroelectric Power Device
Princeton IN 47670 Gibson � � 7. Geothermal Energy Heating/Cooling Device
Clry, Smte ZIP Code Counry
� ❑ 2. Does the buyer have a homestead in Indiana to be � 0 8• Is [his property a residential rental property?
vacated for this residence? If yes, provide ❑ 0 9• Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contoct in%rmotion
including county: below. Please see instruciians/or more information.
907 S Jefferson Street p Not availa6le in all counties.)
Address(NumberondSVee[J �J ��� p�- Q 8 z o 3 00o a�� - oa8
Princefon IN 47670 Gibson Mae Louise Pollock
[!ry, Srnu ZIP Code Counry
Prlmary p�aperty owner conmct name E-matl
Under penaldes of perjury, I hereby certify that this Sales Disclosure, to the best of my lmowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance �vith lC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
being filed.)
aare o(Buyerl SignaN�e o(Buyer2/Spouse
n�= 1 o�icP Polln�k 17I20I2012
SodalSecuriryNumber LastSdigiCSO�Buyer2/SpouseDriver's Smte LastSDigiGSO%SocialSecunry
License/ID/OCherNum6er Num6er Lirense/10/O[herNum6er