HomeMy WebLinkAboutHomestead_Hamm (7) INDIANA SALES DISCLOSURE FORM SDF ID:Itai7x1rift2 OO5'51 Page 2
D.PREPARER •
DAN.L.REEVES ATTORNEY
Preparer of the Sala DMChesure Form Tide
116 S.MAIN ST.P.O.BOX 456 REEVES S COCHREN
Address(Number and Stress) Company
PRINCETON,IN 47670 812/385-8641
City,State and ZIP Code Telephone Number Email
E.SELLER(S)/GRANTOR(S) .
PAIR I CALDEMEYER CONNIE F CAI DFMFYER
Sella 1-Name as appears an con vryance document Seller-Name as appnrs on conveyance document
838 W OAK ST 838 W OAK ST
Address(Number and Street) Address(Number and Street)
OAKLAND CITY IN 47660 OAKLAND CITY IN 47660
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cop fete as r'quit-V by I w,and Is prepared In accordance w'th IC 6-1.1-5.5,"Real QZ•operty Disclosure Act".
i% A'...a ' • .• ai.y`—. - L � L� NV
Agnnure of Seger Miniature ofSelkr
PAULL CAI DFMEYER CONNIE F CALDEMEYER
Printed Name of Seller Sion Dom(MM/DD/77 n) Printed Name of Seller Sign Date INM/DD/YM7
EBUYER(S)/GRANTEE(S)-,APPLICATION FOR P.ROPERTY.TAXDEDUCTIONS rJDENTIFY.ALLITEMS THAT APPLY a <°+ 1+ 's
JACKIE L.HAMM JACKIE S HAMM
Buyer I-No me as appears on conveyance document Buyer 1.Nome as appears an conveyance document
438WCORD100S 438W CO RD100S
Address(Number and Street) Address(Number and.Street)
PETERSBURG,IN 47567 PETERSBURG,IN 47567
TIE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ] 3.Homestead
residence? Provide complete address of primary ❑ al 4.Solar Energy Heating/Cooling System
residence,including county:
- ❑ Fl 5.Wind Power Device
838 W OAK ST
Address(Number and Street) ❑ (a 6.Hydroelectric Power Device
OAKLAND CITY,IN 47660 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City State ZIP Cade County
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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)
Address(Number and Street) -Lib r-��� -007
CIry.Rom ZIP Code Caun 31s2-1 3 - 13 - I b 3 ` CC t5 1
b Primary property owner contact none Emaili
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,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
heft l filed.)
ISum of Bayed 9,,,,?..z.
fBuyer2/Spouse
JACKIF L HAMM JACKIF S. HAMM