HomeMy WebLinkAboutHomestead_CloreINDIANA SALES DISCLOSURE FORM SDF ID 26- 2008 - 0000154 J Page 2
: PREPARER
J ROBERT KINKLE HALL, PARTENHEIMER & KINKLE
ATTORNEY
mra nJ the Sales Disclosure Form-
Tide -
� � iy N. HART ST.. P.O. BOX 13
HALL, PARTENHEIMER & KINKLE
..ddress (ASnnher and Street)
Contpun, -
PRINCETON, IN 47670
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E-mail
IE.SELLER(S) /GR.ANTOR(S)`�
`n =
TIMOTHY W. POHL
ANGELA D. POHL
SeBrr - eVmne as appears on ann%evance documt to
Seller - \`aine as appears on com ei ance document
537 W. STATE ROAD
537 W. STATE ROAD 68
Address (Number and Sir: et)
.4ddrecs (N, ... ,her and So (tell
HAUBSTADT, IN 47639
HAUBSTADT, IN 47639
Cipt Slate, and ZIP Code
Ci; r. Sate. and ZIP Code
(
(
Tlephonr: \'umber F-mad
Telephone ASmihe, E-mail
Under penalties of perjure, I hereby certifc that this Sales Disclosure,
to the best of my knowledge and belief, is true, correct and
omelet as required bylaw, and i s prepared in accordance with IC 6- 1.1 -5.5, "Kcal Property Sales Disclosure 1st ".
/e
`-Sig na'uu'eo Se'!(rr v
Siynmm a ul.Sell'
Frinied Name of Yller Sign Date lM.WDE0')')'))
P, inred Name g eller Sign Date MMftDDf)77l%
KBUYERS) /GR.� \'TEE(S); 4PPLIC�TIO \FORDEDUC "PION SAND CREDITS :I DENT] FVA L'ITEMSTHAT'APPLI ::_
' r.
�AEL CLORE
JEANNIE CLORE
darer - Name as appears m, can n'oncr drnamrem
Burry - A'arne as appears on conveyance document
518 W. GARFIELD AVE.
518 W. GARFIELD AVE.
.address (Number and Street)
Address l \'umber and Sireell
PRINCETON, IN 47670
PRINCETON, IN 47670
Cily, State, and ZIP Code
C II F, Slate. and ZIP Code
(
(000)000 -0000
Telephone Number E -nail
Telephone ;Number E-mail
HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALA. OF THOSE THAT
(r I. Will this property be the buyer's primary residence? Provide
r- i. I lomesicad
complete address of primary residence. inchiding couniv:
r 4. Solar Energy Heating Cooling System
537 W. STATE ROAD 68
(- 5- Wind Power Device
Address(Numhe, and So-retJ
r 6. Hydroelectric Power Device
HAUBSTADT, IN 47639 Gibson
F- j Geotherinal Energy Heating /Cooling Device
Cat% Slate, and ZIP Code C'ounm
r 2. Does the buyer have a homestead to be vacated for this
F- S. Is this property a residential rental property'?
residence? If yes. provide complete address of residence vacating•
includine county:
Address 6Vumber and Saver )
9
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Cite. Sate. and ZIP Code Comer
1^ er penalties of perjury, I heretiv certify that (his Sales es isc osure, tote best of my linowledge and belief, Is true, correct an
®lete as required by law, and is prepared in accordance with IC
6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
Signature ofRaYer
uture o('Burer
M --ekad LJa re 1-7-0
. (� II Y) I'(' % k / -7-b�1
Printed Name of Buyer .Sian Dale 01`1 -DD.')')'F))
Printed Fame of Biner Sign Date (.%ALrDDIY)'M