HomeMy WebLinkAboutHomestead_Smith (70) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
DAN L. REEVES ATTORNEY
Preparer of die Sales Disclosure Form Title
116 S.MAIN ST. REEVES&COCHREN
Address(Number and Street) Company
PRINCETON.IN 47670 812/385-8641
City,State,and ZIPCode Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
KIMRFRI Y.I SMITH
Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document
307 N 5TH AVE
Address(Number and Street) Address(Number and Street)
PRINCFTON 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 Eplete as requir•i by law,and is pre ared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Si a ure•-Seller I , Signature of Seller
_AN L
L . bey : '> `i i .2oI
Printed Name ofSeller Sign Date API/0a MY) Printed Name of Seller Sian Date(MM/Da/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
THADEUS SMITH BRYNA BENNETT
Buyer I-Name as appears on caares once document Buyer 2 Name as appears an conveyance document
307 N. 5TH AVE 307 N. 5TH AVE
Address(Number and Street) Address(Number and Street)
PRINCETON.IN 47670 PRINCETON, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TiilS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION ll�' pp
El 1.Will this property be the buyer's primary Q ❑ 3.Homestead �,
residence? Provide complete address of primary ❑ is 4.Solar Energy Hea g/C 77T�gLni
residence,including county: ❑ El 5.Wind Power Device
307 N. 5TH AVE D�4 19 2013
Address(Nmnber and Street) El MI 6. Hydroelectric Power
PRINCETON. IN 47670 GIBSON ❑ SI 7.Geothermal Energy He 'ng/Cooling device
City.State ZIP Code County
si❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a resi.. .S• t adn�')�i Percy?
vacated for this residence? If yes,provide ❑ El 9.Would you likeqMPNcetgaVniCaMfaRis
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)
THADEUS SMITH
o -L 1-1x- 61-001.6S3-oag
City State ZIP code County
Primary properly 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.) \ /�
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Signature Buyerl ff�[ c vgnature a/ y 2/Spouse
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