Loading...
HomeMy WebLinkAboutHomestead_Smith (39) INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2 J.ROBERT KINKLE ATTORNEY Preparer of the Sales Disclosure Form Title 219 N.HART ST.,PO BOX 13 HALL, PARTENHEIMER 8 KINKLE Address(Number and Street) Company PRINCETON,IN 47670 812-386-0050 _ jrkinkle @hpk-law.com _ City,State and ZIP Code Telephone Number E-mail ESTATF OF.IAMFS H KOLB II DECEASED Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document do 7ACHARY H S KOI B AND HEATH E KOI B Address(Number and Street) Address(Number and Street) 2935 E JOHN FORD ROAD HA71 ETON IN 47640 Telephone 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 completes re uired by law,and is prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act". N k gbh 4 / � re fSeller / Signature of Seller 7A .NARY H S KOI R ‘fr1//AO7i HEATH E KOI B 7)o/7)r Printed Name of Seller Sian bbaate(MA/DD/YYYn Printed Name of Seller Sian Date(MM/DD/YYYY) aF.BUYER(S)/GRANTEE(S) APPLICATION F..OR P.ROPERTY.TAX'DEDUCTIONS IDENTIFY,ALL ITEMS THATAPPLY,`„ "r L.'..; • ,' KIMBERLY JO SMITH Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2089 N SR 65 Address(Number and Street) Address(Number and Street) PRINCETON, IN 47670 _- 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 2 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 12 5.Wind Power Device Address(Number and Street) ❑ 17 6.Hydroelectric Power Device City,State ZIP Code County Ei 7.Geothermal Energy Heating/Cooling Device ❑ 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 ❑ g 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. : �� -2 /y. ;5--n- Not available in all counties.) Address(N ber and Street) �� %j ,s.�m-✓, /�y7G v 4.-�j,53a- loD-ool.4a9-Dd'� Ciry, at PCode 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 being filed. n, A Signature Buyer!- I 11- Signature ofBuyer2/Spouse KIMRERL JO SMITH 1J W dal I 13 Number License/ID/Other Number