Homestead_Stunkel (3)INDIANA SALES DISCLOSURE FORM SDF ID: vaan 7
€D:`PREPARER
Christine St. John Attomev
Preparerof the Safer Disclosure Forth Tide
�19 N. Hart Street Hall. Partenheimer & Kinkle
Address (Number and Street) Company
Pdnceton.IN 47670
E -mail
'EAEL'I ER S' GRANTOR S -< . t T
Wayne R. Stunkel
Mary L Stunkel
Seller l - Name as appears on conveyance document
Seffer 2 - Name as appears on conveyance d/pp���++,meet
105 N. Jeremy Lane
J/ -3 0 I r "1 G
Address (Number and Street)
Hnuhstsdt. IN 47639
Address (Number and Street)
Hauhstadt IN 47639
City, State, mdZlPCude
City, State, and ZIP Code
,
E -mail
Tele hone Number E -mail
Under penalties of perjury I hereby certify that -this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as regt d a 4 roc ed in accordance with IC 6 -1.1 5 , " al P erty Sales Disclosure Act ".
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Signvtu ofsd/v j V mreof ler
Wayne R. Stunkel 07l 12011 mnry I Stun el 071 19011
Printed No Sign Dow (mm1vD1YYM Printed Names Seller San Dale (MMIDDIWM
YER S GRANT S)_ 1AP. P, LICATIONt F. ORIPROPERTYTAXDEDUCT[ 0NS-`_' _
;IDENTIFY.ALL'ITEMS_THAT,APPLY;
IN yne R. Stunkel
Buyerl - Nameasop nronveyancedocument
Buyer 2. Name as appears on conveyance document
L ne
Address (Number and Sure
Address (Number and Street)
aubstadt IN 47639
'ry, State, and7dP Code
City, State, and ZIP lode
(
Tele hone Number E -mail I
Telephone Number E -mail
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑✓ ❑ 1. Will this property be the buyer's primary
[Z] E] 3. Homestead
residence? Provide complete address of primary
ar nergy Heating /Cooling System
residence, including county:
❑✓ 5. Wind Power Device
.
105 N Jeremy Lane
❑ ❑✓ 6. Hydroelectric Power Device
Address (Number and Street)
Haubstadt IN 47639 Gibson
❑ ❑ 7. Geothermal Energy Heating /Cooling Device
E] $• Is this property a residential rental property?
City, State ZIP Code County
❑ ❑✓ 2. Does buyer have homestead in Indiana to be
the a
vacated for this residence? Ifyes, provide
❑ ❑ 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
Not available in all counties.)
a �s�3�•ya! ax6 ysoog
Address (Number and Street)
Ciry, State LPCode County
Primary property owner rontatt name E -mail
Under penalties of perjury, I 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 ocp 1 Security and Driver's - License /Other numbers are not necessary if no Homestead Deduction is
being filed.)
i
SianaVeafetyerl I SgnamreofBuyer2 /Spouse
yne. R Stunkel 071 /2011
tented Legal Nameof Buyer I
Security Number Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of5ocial Security
License /ID10therNumber Number License/ID /other Number