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HomeMy WebLinkAboutHomestead_Miller (6) INDIANA SALES DISCLOSURE FORM SDF ID: • Page 2 2D PREPARE RAF ttTAg°° fi«' . 'a. -11fi a ret-' ,V',tPinl°! eLil 7Mk'irAM rria H t7iinn J.ROBERT KINKLE ATTORNEY I Preparer of the Sales Disclosure Form Title 219 N.HART STREET. PO BOX 13 HALL, PARTENHEIMER&KINKLE Address(Number and Street) Company I PRINCETON IN 47670 812-386-0050 jrkinkleehpk-law.com City,State,and ZIP Code Telephone Number I 6rmil _E^SEI:L'ER(gf/GRANTOR(S)r-: a= a"as': "-a ?rte =_' _-t _ ,_E_ _ _�'_ .:_..i. :2i=.i PAMEI A KAY MIl I ER Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4010 HFNDFRSON FORD ROAD Address(Number and Street) Address(Number and Street) MARTINSVII 1 E IN 46151 Telephone Number I E-mail Under pe .hies of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn e s •• 1,1 I {•,and is prepared in accordance with IC 6-1.1-5.5,"Real Prloperty Sales Disclosure Act". I Stolle o Seller / Signature of Seller PA - A KAY MILT FR /P/.9//��� I P ted Name of Seller tan date(ML/DD/YYYn Printed Name of Seller I Sign Date(MM/Da/U111 F}:BUYER(S1fGRANTEE(S)=APPLICATION:FORiP,ROP.ERTYrTtU{(DEDUCTIONS r._IDENTIEYiALL=ITjEM S;THATAPPL`Y a.�.FtyLC.g `��3 DANNY P.MILLER I u onveynnce document Buyer 2-Name as appears on con veydnce document 2999 S 825 W I Address(Number and Street) Address(Number and Street) I OWENSVILLE IN 47665 THIS PROPERTY. IDENTIFY ALL OF THOSE AAL`� YES NO CONDITION YES i I • • •N I gg LL. Q III 1.Will this property be the buyer's primary ❑ 3.Homestead 1 1 residence? Provide complete address of primary ❑ © 4.Solar Energy Heatin9SCT oTir SOystem residence,including county: I x49 9 S Or)sW ❑ fl 5.Wind Power Device Address(Number and Street) ❑ ❑ 6. Hydroelectric Powt?�9${t OW ENS Ili LLE, ,2 N 42 (o% 55 G I8so.✓ ❑ ❑ .Geothermal e o t h e r m a l 9 e & o t ngOR Ciy,State ZIP Code County 1 ❑ ❑ 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 ❑ ❑ 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. —.—iVoeavailable-in-all counties)—— Address(Number and Street) 64, _ 4,- /00 - 00/. /7D - I z CityState ZIP Code Count' pomaryprapertyaWn Tn act name I 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 Se urity and Driver's License/Other numbers are not necessary if no Homestead Deduction is being ,,,*d. S'r •tare of Buyer! Signature of Buyer2/Spouse t•i NY P Mil I ER 4.211/70/3 Printed Legal Name of Buyer I Sign Date(MM/DD/YYn7 Printed Legal Name of Buyer 2/Spouse) Sign Date(MM/DD/Yrvl) Lost 5 digits of Buyer l Drivers State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spa use Driver's State Last 5 Digits of Social Security License/ID/Other Number Number License/ID/Other Number