HomeMy WebLinkAboutHomestead_HastingsINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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J. Robert Kinkle Attornev "
Preparer a([he Salu Dlsdosure form TYtle
PO Box 13. 219 N. HaR Streei Hall. Partenheimer & Kinkle
Addres (Numbernnd StreerJ Company
Princeton IN 47670
Liry, SrntG and ZIP Code Tdephane Number E-mail
E: SEGLER S GRAN�TOR S :: � � � _. .� _. £ : . .. _ : . , _ ;_ _, -:-,
� Y ��J
Alan M W�If
Seller I- Name as appevn on conveyvnre dacvment Seller I- Name as appmn on ronveynnce documen[
'�844 S RR 6�+
Addrus (Numberond StreeQ Addreu (Number and So-eetJ
OwPnsville IN 47665
Tde honeNumber E-mo(1 Tde honeA'umber E-mall
Under p naldes of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co lete as r quired by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure AcC.
Sig mr Sell 5(gnomreo(Seller
omeo Seller Sian Da[e M,N DD Pnnted Name o Seller 51 n DalelMM DD
F.BUYER S' GRANTEE S' PPLICATION;FORPROPERTY_TAXDEDUCTIONS-:IDENTIFYALLITEMS'THATAPPLY - '��
�i h el W. Hastin
Bu�er-7�Nameasappears eyanredocumen[ Buyer2-Nameasappearsonconveyanredocummt
43904 Cantabury Street
Addres (Number ond StreeQ Address (Num6er ond Street)
Lancaster. CA 93536
Ciry, SmtG and Z1P Lode Clty, Smte, and ZIP Cade
Tele honeNumber E-mofl Tele honeNumber E-mall
THESALESDISCLOSUREFORMMAYBEUSEDTOAPPLYFORCERTAINDEDURIONSFO ROPERTY.IDENTIFYALLO THATAPPLY.
YES YO COYDRION -VFS NO CONDITIOY
� ❑ 1. Will this property be the buyer's primary Q ❑ 3. Homes[ead
residence? Provide complete address of primary _eaang/Cooling System
residence, including county: '—
484Q S SR 65 ❑ ❑✓ S. Wind Power Device
Addren(Numberond5tnet) � � 6. Hydroelectric Power Device
Owensville IN 47665 Gibson � � 7, Geothermal Energy Heating/Cooling Device
Ciry, Smte ZIP Lode Counry
❑ 0 2. Does the buyer have a homesread in (ndiana to be � � 8• �s this property a residential rental propercy?
vacated for this 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 contact in(ormation
including county: below. Please see instructions for more information.
Not availa6/e in all counties'.)/� .7
Addrecs(h'umberand5veet) �� �/�' r/ '/�/�Qa�. �f�"� Qp•-/
l/1 �.J(O � U
Michael W. Haslings
Clry, Srnu ZIP Code Counry
Pr/mary properry owner conrntt name E'-mail
Under penaldes of perjury, 1 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 Drivers License/Other numbers are not necessary if no Homestead Deducdon is �
being filed.) ,� I .
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'/�s.
S(gnamreo(evyer' \ Signamreo(Buyer2/Spouse
Mirhaal W Naqingc 01N1/2013
Lostidigi[safBuyerlDriver's State LastSDigiGSOjSocial5ecurityNum6er LastSdigiCSa�Buyer2/SpouseDriver's Smte Las[SDigiuo%SocialSecurity
License/ID/OtherNum6er Num6er License/ID/OtherNumber