HomeMy WebLinkAboutHomestead_PriestlNDIANA SALES DISCLOSURE FORM SDF lD: Pa e 2
D�PREPARER::., ,, . . - ;x> �- . �. - �..''= � __}.: F
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J. Robert Kinkle Attomev
Preparu o(the Salu Disdasure Fartn Tltle
PO Box 13. 219 N. Hart Street Hall. Partenheimer & Kinkle
Addrea (Numberand Street) Company
Princeton.IN 47670
E-mail
E; SEI:LER S GRANTOR S: '+' � - `':�
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CnllPPn (;. Hunf
Shcer ]- Name ar appears an ronveyance dxummt Seller 2- A'ome as appwrs om m�veynnce docvmen[
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Address (Number and Stree[) AddreSS (NUm6erand Street)
Princeton IN 47670
E-mail Tele honeNum6er E-mail
Under penalUes of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
an ompl [e as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Ac[".
5(qnamre /Seller Slgnamreaj5eller
Prinfed Nameo Se(Ie� SI n Date MM OD Printed Nome o 5eller 5(an Da[e fM.b DD
F: BUYER S GRANTEE S`-'APPLICATION'FOR PROPERT,Y TAX•DEDUGTIONS=+IDENTIFYFALL�ITEMS�THAT APPLY
Judy A Priest
Buyer 1- Name asappeors om m�veyonce dommmt Buyu 2- Name as appears on conveyance documenl
10499 SR 57
Addreu (Numberand Svee[J Address (Number and Svee[J
Elberfeld IN 47613
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�de honeh'um6er E�moil Tele honeNumber E-moll
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN OEDUCfI0N5 FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TNAT APPLY.
YES NO CONDRIOY ' NO CO ION
Q ❑ 1. Will this property be the buyer's primary � ❑ 3. Homestea
residence? Provide complete address of primary 4. Solar Energy Heating/Cooling System
residence, including county:
62a S First Street ❑ �✓ 5. Wind Power Device
Address(Numberond5treet) � � 6. Hydroelectric Power Device
Princeton IN 47670 Gibson � 0 7. Geothermal Energy Heatlng/Cooling Device
Clty, Srore ZIP Cade Lounry
� ❑ 2. Does the buyer have a homestead in Indiana to be � � 8• �s this propercy a residentlal rental property?
vacated For this residence? If yes, provide ❑ � 9. Would you like to receive tax s[atements for this
complete address of residence being vacated, property via e-mail? (Provide conmct informotion
intluding county: below. Please see instructions for more injormation.
10499 SR 57 (_ f\ Not available in all coundes.J
Addrus(Numberond5vee[J ��J`--'—/a-07-3�� ��/ (,[//���
Elberfeld,IN 47613 Warrick '
Judy A. Priest
Lity. Sm[e ZIP Code launry
Primaryproperryawnerconmcrname Email
Under penaldes of perjury, 1 hereby cer[ify that this Sales Disclosure, [o the best of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Distlosure AcC'. (Note:
Spo ' formation, Social urity and Drive�'s License/Other numbers are not necessary if no Homestead Deducdon is
mg fil .)
Slgn eo/Buy 1 Signatureo%Buyerl/Spouse
I riTA Prirct Ot/04/2013
Prin I.egalNameo/Buyerl 5{gnDate(MM/D Pn'nredLegalNomeo(BUyer2/Spouse SlgnDate(MS/OD/vYYt7
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LastSdigi6o/'Buyerl Driver's Smte Las[SDigiGSOfSocialSecurityNumber LostSdigiCrofBuy�er2/SpouseDriver's 5[a[e LostSDigiGSO�SocialSecurity
License/ID/OtherNum6er Number License/ID/OCherNum6er