HomeMy WebLinkAboutHomestead_Ellis INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
219 N Hart St. Hall, Partenheimer 8 Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkle(ahhpk-law.com
City.State,and ZIP Cade Telephone Number E-mail
E:SEELER(S)%GRANTOR(S) _,
Rashael C Stoll
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4294 S SR 65
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an lete as L
requi ed bylaw,a 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
Rachae ctnll _ _ , I I . !.
Printed Na me of Seller San Date MH�/0 /YYY
Printed Name of5eller �]aMt�y]tQs.♦;'MM/DO
:F.BUYER(S)%GRANTEE(S1.`APPLICATION EOIt PROPERTY TAX'DEDUCTIONS-,IDENTIFY ALE M-"- 1"APP __
Mitchell A.Ellis _ Amy E. Ellis (1[(` 8 2014
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d t
921 S. Hall St. 921 S. Hall St.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. I I • • • I THOSE THAT APPLY.
YES NO CONDITION - • S NO CONDITION
0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead
residence? Provide complete address of primary o- 17 olar Energy Heating/Cooling System
residence,including county:
4294 S SR 65 ❑ 9 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ n�, 8,,ls this property a residential rental property?
vacated for this residence? If yes,provide ❑ I 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.
921 S. Hall St. Not available in all counties.)
Address(Number and Street) a (0_, i _ 3 i-3oo-boy cSS-0 a-)
Princeton,IN 47670 Gibson
City,State ZIP Code County
Primary property owner contact name E-mail