HomeMy WebLinkAboutHomestead_Shoultz .-
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
---- --- ---- - -- - -- --1Z-`''-
..:01:,1511ET?AaEl! , 7.-:^.•'"fc.- 7.L,-,7-'''t—__c..f Z L.:7:17.77_17-_x:.7 .:2,2. 1-:24" :.., ,7-. 11-, -T1:17<. ..-rizi--7=7.77=-",- --n77-:
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N.Hart Street Hall,Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehok-law.com
City,State.and ZIP Code Telephone Number E-mail
L----:=1757:1;757; 777-- -----
Dorothy L Shoultz Rev Trust dated 11-5-92 Bobbie Joe Shoultz Rev Trust dated 11-5-92
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2838 N SR 65 2838 N SR 65
Address(Number and Street) Address(Number and Street)
Patoka IN 47666 Patoka IN 47666
Under penalties of perjury,thereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Aan complete a requ'redy law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.s.,v pot, i,1 /004
Signature o Seller Signature of Seller
Arian! Shoult7 POA 6-13 /3 Brian L Shoultz POA
Printed Name of Seller Sian Date Imic/DD/Yffil Printed Name of Seller Sian Date Inm/Din/IITY)
i:F.,BUYER(SI/GRANTEE(S), APPLICATION.FORTPROPERTY+TAXDEDUCTIONSTFADENTIFTY:AlkilTEMS,THArAPPLYT—----- ii--_TT
Jeremy B. Shoultz Samantha E.Shoultz
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
6462 E 500 N 6462 E 500 N
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649 Francisco, IN 47649
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
0 0 1.Will this property be the buyer's primary W7 0 3.Homestead
residence? Provide complete address of primary D o 4.Solar Energy Heating/Cooling System
residence,including county:
D NI S.Wind Power Device
Address(Number and Street) D Z 6. Hydroelectric Power Device
D o 7.Geothermal Energy Heating/Cooling Device
City,Suite ZIP Code County
D p 8.Is this property a residential rental property?
D 21 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide jj 2- 9.Would you like.to receive tax statements for this _. _
completeTddriss of ire-S-idence being vacated, property via-e-mai IT(Provide contact information— • -
including county: eiV\ below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
City,State ZIPCade County a 1005 -z Ft-300 001 7 b 9 0,27
Primary property owner contact name E-mail .