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HomeMy WebLinkAboutHomestead_Koch (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:.PREPARER� _ • J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer 8 Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(hThpk-law.com Ciry,State,and ZIP Code Telephone Number E-mail . SELLERS)/GRANTOR(S). - - - ---- - - --. _ E .- - - -- -- -- - -- - - - -- ------ Devisees of Carson Fugene Powers Rnnita Powers as Personal Rep Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 701 Water Tower Rd Address(Number and Street) Address(Number and Street) Owensville IN 47665 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 complete as required by law,and is prepared in accordance with IC 6-1.1-S.S,"Real Property Sales Disclosure Act". / -rJ .ti.2.__- S. P..wa..v agnnture ofSeller—/ Signature of Seller Bonita Powers Personal Representative ,�// 57/.3 Printed Name of Seller ZSign date(MM/ D/YYn1—, Printed Name o(Seller Sign Date(MM/DO/YYYYI _Fr BUYER(S)/.GRANTEE(Sf AP.PLIGATION_FOR'PROPERTY:TAX.DEDUCTIONS IDENTIFYALLITEMSI}A1Y,- '_1,'. - Treg Koch 1� Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 202 N. Mill St AUG 1.6'2013 Address(Number and Street) Address(Number and Street) Owensville, IN 47665 • Telephone Number THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES CONDITION YES NO CONDITION Lld ❑ 1_6Will this property be the buyer's primary ❑ 3 Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 70i w H r ER TOw Ek- R D ❑ Fl S.Wind Power Device Address(Number and Street) ❑ 17 6.Hydroelectric Power Device DU CMS'Vitt-E , Ter/ Gibson ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City, te ZlP Code County ❑ ❑ 8.Is this property a residential rental property? ❑ tDoes the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ ❑ [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. '5-2 H c' gf-O e' Not available in all counties.) Addr Number and Street) ��vr .Ksvrl—C6.-/ �ti4' 64 96— IS-Db -3D3 -coo q -0) a- 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.S,"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.) r, _....)-C--e. a </ . • LSnat gure of BUyer1 Signature of Buyer2/Spouse Number License/ID/Other Number