HomeMy WebLinkAboutHomestead_MiskellINDIANA SALES DISCLOSURE FORM SDF ID:
pa 2
D.TREPARER
Maia L. Worthington. Esg. Attorney
V/Prcparer ofthe Sala Disclosure Form title
St.
W 0 1 Main I Suite 305, P.O. Box 3646 Kahn. Dees, Donovan & Kahn, LLP
Address dStreet) Company
Evansville, IN 47735-3646
E-moil
E; SELLER(S)/GRANTOR(S)1'1 d
.lames F Miskell
Dphhip, A Miskell
Seller I - Name as appears on conveyance document
122 Olive Or
Seller 2 - Name as appears on conveyance document
122 Olive Dr
Address (Number and Street)
Princeton IN 47670
Address (Number and Street)
Princeton IN 47670
07, State and ZIP Code
City, State, and ZIP Code
(
E-mail
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 law, and is prep ed in accordance with 1.0 6-1.1-5.5, "Real Property Sales Disclosure Act".
r �� . a,
I-e
Signature 4-3071ar mtureofSeller
James F Miskell '7 — 14. J Debbie A. Miskell
Printed Name ofSdler Dareommmanym Printed Name ofSeller Sion note MM/DDIYYM
GRANTEE(S)--
F. BUYER is)ZI _APPLICATION-FOR,PROPERTY-TAX DEDUCTIONS-"IDENTIFYALC ITEMS THAUPPL'Y ',
Kevin J. Miskell
Bever I - Name as appears on conveyance document
Buyer 2 - Name as appears on conveyance document
413 W. Vine Street
Address (Number and Street)
Address (Number ad Street)
Patoka, IN 47666
City, State, and ZIP Code
Ciry, State and ZIP Code
Telep hone Number '
CERTAIN DEDUCTIONS FOR THIS PROPERTY. I D ENTI FY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
f7l ❑ 1. Will this property be the buyer's primary
R) [—] 3. Homestead
residence? Provide complete address of primary
❑ R] 4, Solar Energy Heating/Cooling System
residence, including county:
F] R] S. Wind Power Device
413 W Vine Strept
E] 2] 6. Hydroelectric Power Device
Address (Number and Street)
Patoka, IN 47666 Gibson
❑ 0 7. Geothermal Energy Heating/Cooling Device
8. Is this property a residential rental property?
City, State ZIPCode County
❑ n/ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
F-1 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 available in all counties.)
Address (Number and Street)
-01-2 9-3(!�3 -000 z099,0R
City, State ZfP Code County
property owner contact name E-mail
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 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 riled.)
SignatureofBayerl Sig n a cure of 6 uy er2lSp a u s a
win A Miskell
ted Legal Name ofBuye, I Sign Date (MMIDDIYYYY) Printed Legal Name of Buyer 2 /Spouse S(gn Date (MMIDDIYYYY)
Lost 5 digits of Buyer I Driver's State Lost S Digits of Social Security Number Last 5 digits of Buyer 2 /Spouse Driver's State Last 5 Digits ofSociul Security
License /1D /Other Number Number License,11010uher Number