HomeMy WebLinkAboutHomestead_Grubb (2) •INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - - - HI . _ . •-
J. Robert Kinkle Attorney
Prepare.of the Sales Disclosure Form Tide
219 N. Hart SL Hall, Partenheimer& Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
Dawn Pokorney
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1021 , Adams St
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 _ —
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 I w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller---*"...--
Signature of Seller
Dawn Pokorney ( r" 27_/y
Printed Name of Seller Sian Date put/ODIYYV) Printed Name of Seller Sign Date(M4/00/VYM
F.�UYER{S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY- -
\ Lisa Grubb
—&4 _ as appears on conveyance document Buyer 2-Name as appears an conveyance docume
439 S.Old St. Rd.65 •
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE*A ' T
YES NO CONDITION I - t. t Ck/i (f..
Q ❑ 1..Will this property be the buyer's primary Q ❑ 3. Homestead 7/l'-10
residence? Provide complete address of primary �3__ n . • - '-ergy Heating/Cooling 5 I m
residence,including county: ❑ R
1021 S.Adams St 5.Wind Power Device
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ (J7 7.Geothermal Energy Heating/Cooling Device
g,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be (1] 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
'1
including (q3 ounty: -j below. Please see instructions for more information.
'b 3 c 5' - Not available in all counties.)
Address (Number and Street)
10/AlOe,VA) , /i/ 117010 ac-is- iii- 10 \- to . 3(p -oa
City,State ZIP Code County
Primary property owner contact name E-mail