HomeMy WebLinkAboutHomestead_Young (18) r.,
INDIANA SALES DISCLOSURE FORD? SDF ID: Pale 2
J Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
219 N Hart St Hall,Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkle(ahpk-law.com
City,State,and ZIP Code Telephone Number E-mail
.E.SELLER(S)/GRANTOR(S), ._ - •
• .
The Estate of.lamps W Fortner
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
720 S Hall St
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and plet r�uir 2:::„.2,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
,lycfSS/el r2' .a t no f f
_ / Signature of Seller
Jeffrey D Fortner Personal Representative
5Sign-Daze/G-/t
Printed Name of Seller (MM/OD/YYY11— Printed Name of Seller Sian Date IMM/DO/Yrn)
C.- _ ' •NTEE(S) APPLICATION FOR+PROPERTYTAX DEDUCTIONS-:IDENTIFY ALL ITEMS THAT'APPLY :- _ • _
Dale P.Young
- 2---•epears on conveyance document Buyer Name as appears on conveyance document
8965 W 200 N a
Address(Number and Street) Address(Number and Street) Ag
Hazleton, IN 47640
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPL .
YES NO CONDITION YES NO CONDITION I.e.,. .siiikireard.;
0 ❑ 1.Will this property be the buyer's primary l 0 El 3.Homeste.I GIBSON COUNTY AUDITOR
residence? Provide complete address of primary Z n . . . • ergy Heating/Cooling System
residence,including county: ❑
716 S. ly A-LL Sr: 5.Wind Power Device
,c—f ddress(NumberandStreet) ❑ 0 6.Hydroelectric Power Device
YRiA)CgreA) a/ 47270 /BS OA) ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade County
0 ❑ 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 ❑ ❑C.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.
8965 W 200 N Not available in all counties.)
Address(Number and Street)
Hazleton, IN 47640 I? _,a i2-/6/ . QVa- oaf?
City,State ZIP Code County
Primary property owner contact name E-mail