HomeMy WebLinkAboutHomestead_Schenk (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page12
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D:PREPARER_- ': ' - - :.,-... -- - - -- -- -
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St,PO Box 13 Hall,Partenheimer&Kinkle
Address(Number and Street) Company
Princeton,IN 47670 812-386-0050 irkinkle(tilhpk-law.com
City,State.and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
Joshua 0 Medler
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1129 S Hall St
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
- –- 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 comp) avequired by law,and is prepared in accordance with IC 6-1.1-5,5,"Real Property Sales Disclosure Act".
cure of Seller Signature of Seller
Joshua 0 Medler �J
Printed Name Seller ! Date h /rrrn Printed Name of Seller Sian Date rMM/oo/rrn)
YER(S)/G' •r' E(S)--APPLICATIONF,OR PROPERTY TAX DEDUCTIONS-,IDENTIFY ALLITEMS THAT APPLY ITT
Waylon A.Schenk
Buyer l-Name as appears on anveyance document Buyer 2-Name as appears on conveyance document
• _4110Eaele a • or
.•ress umber and Street) Address(Number and Street)
Evansville, IN 47725
Tele ho E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FO PROPERTY. IDENTIFY ALL OF THOS •-T APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of primary • 12 •.Solar Energy Heating/Cooling System
residence,including county:
1129 S Hall St ❑ CI 5.Wind Power Device
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 2 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 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 ❑ ❑ayould 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) ^ ‘_I a-( w - l o3 - 003. ^9 i-02}�
City,State ZIP Code County (JJ, �u( 'KJ (Jy
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 b 'law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse information,Social ecurity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.
Acs
(Signatureof: erl- Signature of Buyer2/Spouse
Waylon A Schenk /S^
Number License/ID/Other Number