HomeMy WebLinkAboutHomestead_Wallace (24) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
}D�PREPARER?.1- n __��-' �r--;Y ar _ � .i:?- . - ---'
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N.Hart St. Hall, Partenheimer&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
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9SELEER(SI/GRANTOR(S);t -;.4_ ___-__.- :tom,.?" --r- . , E- --- ,_ •' „—..777 , .--- l-..
Pamela S Bishop Linda K. Miller _
Seller I•Name asa pears on conveyance document Seller 2-Name as appears on conveyance document
?O/ Ztmm[.efltftalI,C 110 /gC 340�-S'
(Address Numberand5treet 97�"7 0 `Ad0 a krrQ k de 7). /g 4 ce 6
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Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete required by jaw,and is prepared in accordance wit I -11-5.5,"Rea(Property ales Disclosure Act".
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CSgotofSela a re of5eller� /
Pamela S Bishop 3' 2 ii 1 Linda K Miller -2-9 -/l
Printed Nam-• Sian Date(MMfDD/Y)7Y7- Printed Name of Seller '—SlgnDateb4M/DOOYYYY1,
±F� , • R(S)JGRANTEE( '_•APPLICATION!EO bEFf0PERTATFAXMEDUCTIONS 'IDENTIFYfAig'ITEMSiMATtARPUYC-' • '• 117
Cassie M.Wallace
Buyer I-Name as appea onveyaare document Buyer 2-Name as appears on conveyance document
(
t 49
to .400 N. .F IL.� 1.)
Addr berand Street) Address(Number and Street)
Patoka, IN 47666
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TFj9T APPLY. --_
YES NO CONDITION NO CONDITION Y`'I'A/
Q ❑ 1.Will this property be the buyer's primary � ❑ 3.Homest• .' 'ON COUNTY AUDITOR
residence? Provide complete address of primary a' ri oar Energy Heating/Cooling System
residence,including county: ❑
S a g S S roA M o N7 Sr 5.Wind Power Device
4ddress(Number and Street) ^ �t ❑ � 6.Hydroelectric Power Device
rat Nc&-roe(, 1,✓ `�7 6. ? p (1 /45 o� ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP C County
❑ t...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 ❑ ❑ (>3-Mould you like to receive tax statements for this
complete address of residence being vacated, V property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in II counties.)
Address(Number and Street) J -1/4.2-O 2 T 047-f O
O.S. 3 71- aag
Ciry,State ZIP Code County
Primary property owner contact name E-mail