HomeMy WebLinkAboutHomestead_Stephens (3)INDIANA SALES DISCLOSURE FORM SDF ID:
J. Robert Kinkle
Preparer of the Sales Disclosure Form
PO Box 13 219 N. Hart St.
Wres(Number and Street)
inceton IN 47670
City, Store, and ZIP Cade
The FctatP of Linda .I. Rattling
Seller 1 - Name as appears on conveyance document
14418 E Hnrricnn Street
Address (Number and Street)
Oakland City. IN 47660
City, State, and ZIP rude
Title
Hall, Partenheimer & Kinkle
Company
E -mail
Seller 2 - Nome as appears on conveyance document
Address (Number aad Street)
City, State, and ZIP rude
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 completes Gass required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
Signature ofSeller Signature of Seller
Printed Name a`Se Sion Dote LL(Mlfip�= Printed Nome at Seller Sion Date fMMDO
F. BUYER RANTEE S - APP CATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Ti by K. Stephens
eel - Name as appearso" eynncedocument Buyer2- Nnmeusoppmrsoncotiveyoncedocument
3 ue _
Address (Number and Street)
,iiiinceton, IN 47670
State, and ZIP Cade
Address (Number and Street)
City, State, and ZIP Code
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
0 ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of prima
residence, including county:
841 N Polk Drive
Address (Number and Street)
Oakland City, IN 47660 Gibson
City, State ZIP Code County
0 ❑ 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:
329 S. 5th Avenue
Address (Number and Street)
Princeton, IN 47660 Gibson
LChy, State ZIP Code County
Z ❑ 3. Homestead
System
❑ ❑d S. Wind Power Device
❑ Z 6. Hydroelectric Power Device
❑ 0 7. Geothermal Energy Heating /Cooling Device
❑ ❑✓ B. Is this property a residential rental property?
❑ Q 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.)
(-i -ooh
Timothy K. Stephens
Primary propertyowner 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
led.
NreafBuye / Signaure ofBuyer2 /Spouse
Timothy K_ Stepbens 06(06( 2012
Printed Legal Name of Buyer I Sign Date tVM /D0/1TM Printed Legal Nome of Buyer 2 1Spouse Sign Date (MM /DD/nyn
(^
Last 5 digi6 of Buyer 1 Driver's State Last 5 Digits ofSociol Security Number Lost 5 digits of Buyer 2 15pouse Driver's State Last 5 Digits of Social Security
License /lD/0ther Number Number License /ID /Other Number