Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Debord (8)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _D::PRE PARE R' tz. a >r■ r r rte:{ -£ _-, " J. Robert Kinkle Attorney Preparer of the Sales Disclosure form Tide PO Box 13, 219 N. Hart Street Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton,IN 47670 812-386-0050 City,State,and ZIP Code Telephone Number E-mail ,E:SELLER(S)%GRANTOR(S)14, u t_F -= :Thi, : -;Y: A fir_ . - ss ' -- Thomas C White Seller I-Name as appears on conveyance document Seller 2-Name as a ears on conveyance veyance document 62R S Prince Street Address(Number and Street) Address(Number and Street) Princeton IN 47670 Telephone Number E-mail Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as re fired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Thomas C White 7-0-13 Printed Name o(Seller Sian Date((MM/DD/YYYY) Printed Name of Seller Sign Date fMM/DD/YYYY) 1F:BUYER(SV GRANTEE(SyS:APPLICATIONTORPROPERTY TAX4DEDUCTIONS=`IDENTIFY ALL ITEMS THAT APPLY ?: : :, Lindsey Marie DeBord • Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4906 E. State Road 56 Address(Number and Street) Address(Number and Street) Hazleton, IN 47640 Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION Li 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary Li © 4.Solar Energy Heating/Cooling System residence,including county: 112 S .lefferson St ❑ 12 5.Wind Power Device Address(Number and Street) ❑ p 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Li 0 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 ❑ 7 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.) / 7 Address(Number and Street) ���f�fJ((Jpp�� �o24 %50/a / x7449 .it 'f V tfrldsoyMarie De aid (x/� T (JO�'G City,State ZIP Code County Primary property owner contact 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,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is be g filed.) S na[ure ofBu rl Signature af Buyer2/Spouse I Number License/ID/Other Number