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HomeMy WebLinkAboutHomestead_Rutledge (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.-PREPARER-.�.-:. .L? ..Q.._ J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall. Partenheimer 8 Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkleehok-law.com City,State,and ZIPCode Telephone Number E-mail - . ., . E.:SELLER(S)/GRANTOR(S)":: . .-.r.,.:__ • _ .t - - -- ..: -, . -. .._. .. - ... Richard F Hedge Martha M Weatherly Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 505 I exington Ave PO Box 1073 Address(Number and Street) Address(Number and Street) Lawrenceville IL 62434 Wake Forest NC 77588 City,State,and ZIP Code Ciy,State,and ZIP Code t/Z- 27)-C.13.3 is•/ Z — 30-6 -4010 Telephone Number Email 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 an plete as required by I w,and is prepared in accordance wit IC 6-1. -5.5,"Real Prope T Spies Disclosure Act". -'x,,10 F, //—a1—// \- (Vl A. I' 1 v Signature of Seller `�' Signature of Seller 'y/ Richard E Hedge gall pi Martha M Weatherly (/— I 1 �ol I Printed Name ofSeller Sian Date I M/a/rrn7 Printed Name of Seller sign Dare MM/DD/YYIYI F.I BUYER(S)/GRANTEE(S5YAPPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY' . - Thomas Rutledge _ __ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 10195 Address(Nu(Number S. •••������ ��I��I Ay Addr (Number and Street) Address(Number and Street) Owensville,ZIP 47665 /�/0 City,Smte,and ZIPCode City.State.and ZIP Code ' a 1-12- -lfx 7-264) Zs Telephone Number E-mail Telephone Number to i - /4 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH YriA 0 .I YES NO CONDITION I YES NO CONDITION �/I9.); iii 0 ❑ 1.FVill this property be the buyer's primary 0 ❑ 3.Homestead -9& t residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Systelrp residence,including county: ❑ R S.Wind Power Device _ =Address(Number and Street) -0-0-6.,Iiydroelectric,PowerDevice ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode County ❑ ❑ 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. Not avail le in all counties) Address(Number and Street) City,State ZIP Code County Primary property owner contact name E-mail Under penalties of perjury,1 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.) / Signature of Buyerl Signature of Bvyer2/Spouse Thomas Rutledge //4/01af Printed Legal Name of Buyer l Sign Date VW D/YYYYI Printed Legal Name of Buyer 2/Spouse Sign Date(MM/DOMTY) Last 5 digits of Buyer I Driver's State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 DigitsafSocial Security License/ID/Other Number Number License/ID/Other Number