HomeMy WebLinkAboutHomestead_HagemanIND[ANA SALES
D.PREPARER' - .'"{'•tr " :i:= .�rr.-=� r. _fi_ -
J. Robert Kinkle Attomev
Preparw af Ne Sales Disdosure Fartn Title
P Box 13 219 N. Hart Street Hail Partenheimer & Kinkle
(Number and Street) Company
Pnnceton IN 47670
Ciry,5mr4andZlPCode TelephoneNumber ' E-moil
�QgPr n WallarP MaAha A Walla
Seller t- Name as appmrs on rnnveyvnce docummt Sel/er 2- Name as appevrs on tanveynnce document
79f1 F Taftnwn Rnad 790 F Taftown Road
Addre¢ (Num6er and Svre[J Address (Number and StreetJ
Prin�aton IN 47670 Prin�Pinn IN 47670
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Under penalties of perjury, I hereby cerdfy that this Sales Disclosure, to the best of my Imowledge and belief, is hve, correct
annd complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
I{ oo ��� On �c e �Yi1 W' 2.� Q. �,<J a�-
5(gnaw oJSelle�� I ) IgnoNreofSeller
Rooer D. Wallace . CY/� /�(o%LO /� Martha A Wallace a- a G-�013
3302 Green River Dr Aot 324
Address (Number ond Street)
Buyu 2- Name as appenrs an conveyanre documen[
(Numbe�andStreetJ
Lity, Smre, and ZIP Code
THE SALFS DISCLOSIIRE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCf IONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
FS NO
0 ❑ 1. Will this property be the buyer's primary
residence? Provide complete address oF primary
residence, including county:
79n F 7aftown Road
Address (Number and StreetJ
Princeton IN 47670 _ Gibson
llry. Smte ZIP lode Caunry
❑ � 2. Does the buyer have a homes[ead in Indiana to be
vacated for [his residence? [f yes, provide
complete address of residence being vacated,
including county:
(NumberandStrre[)
Clry.
Counry
0 ❑ 3.H
❑ 0
❑ �
❑ �
❑ �
❑ 0
Energy Heaang/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residenrial rental property?
9. Would you like to receive tae statements for this
property via e-mail? (Provide contact information
below. Please see instructlons for more information.
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Under penaltles of perjury, I hereby certify that this Sales Disclosure, [o the best of my lrnowledge 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 Drive�'s License/Other numbers are not necessary if no Homestead Deducdon is
be/i�n� filed.) I/ ,�j�
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mr�o/Buyer] �I� 5lgnaolreaf8uyer2/Spouse
�/cnn KaraJ�9pmon
Oa��� �
Los[SdigitsofBuyer2/SpauseDriver's Smte Las[SDigi[so(SodalSecunty
Lirense/ID/OCherNumber Num6er License/ID/OtherNumber