HomeMy WebLinkAboutHomestead_Smith (24)INDIANA SALFS DISCLOSURE FORM SDF ID: Pa e 2
DrPREPARER� -: :-,, , . . . . ,. � � .:; . . , - . � - • �
J. Robert Kinkle Attornev
Preparer of the Sala Disdosure Farm 7itle
PO Box 13 219 N. Hart Street Hall. Partenheimer & Kinkle
Addras (A'umber and StrretJ Company
Pnnceton.IN 47670
E-mail
E. SELLER S GRANTOR 5 - ; . :,r � _ , , . -. . _ :.
Jeffreys, Church Andrea M Church
Se!!ei 7- A'ame os oppears on conveyantt documen[ Seller 2- Nome as appears om m�veyance docvmmt
501 N WillarA 501 N Willard
Addrrss (Num6er and Stree[J Address (Number and Stree[J
Fort Branch IN 47fi84 Fort Branch,IN 47648
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Under penalties of perjury, I hereby certify [hat this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and% (et as r quired by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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F. BUYER S' GRANTEE S- APPLICATION EOR PROPERTY.TAX DEDUCTIONS- IDENTIFY ALL' ITEMS THAT APPLY '
Uriah B Smith
Buyer 1- Name as appears an ronveywnce docvment Buyer 2- Name or appeorson ronveyanw dooummt
603 E. Water Street
Addras (Number and Sveey Addrus (NUmber and Svee[)
Princeton IN 47670
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THH SALFS OISCLOSURE FORM MAV BH USED TO APPLY FOR CERTAI\ DEDURIONS FOR THIS PROPHRTY. IDE\TIFY ALL OF THOSE THAT APPLY.
YES YO COtiDR10N I YFS FO COYDRION
� ❑ 1. Will this property be [he buyer's primary � ❑ 3. Homestead
residence? Provide comple[e address of primary � 0 4. Solar Energy Heating/Cooling System
residence, including county:
SOt N Willard ❑ ❑✓ 5. Wind Power Device
Addrus(Num6erandStree[) ❑ � 6. Hydroelectric Power Device
Fort Branch IN 47648 Gibson � Q 7. Geothermal Energy Heating/Cooling Device
Ciry, Smce ZIPCade Counry
❑ � 2. Does [he buyer have a homestead in Indiana to be � 0 $• �s this property a residential rental property?
vatated for [his residence? If yes, provide ❑ 0 9• Would you like to receive tax statementr for this
comple[e address of residence being vaca[ed, property via e-mail? (Provide rontact information
including county: below. Please see instrucdons for more informa[ion.
No[ available in all counties.)
Addras(NUmberand5vee[) a�—'� � IQ
Uriah B. Smith
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Ciry, Smte7JPCade Counry
Pnmarypropertyownerconmc[name E'-mail
Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and com e[e as re uired by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse i ormation, ocial Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
b�g�� �)
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BuyertDriver's Stn[e LastSDigicsafSocial5ecuriryNumber LastSdigicsojBuyer2/SpouseDrrver's Stn[e Los[SDigi[sojSocialSecunry
License/lD/OtherNumber Num6er Lirense/!D/OtherNum6er