HomeMy WebLinkAboutHomestead_LambINDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
^' q N. Hart St. PO Box 13
® as" (Number and Street)
�nnceton.IN 47670
City, State, and ZIP Code
E. S
Seller I -Name as appears on conveyance document
Address (Number and Street)
Fort Branch IN 47648
E -mail
Under p (ties of perjury, I
and cor ete as qui� d by
Signam .of Seller Matthis
hill Prin d.'ame Seller
BUYERS G -NTEE S -AI
Korey J. Lamb
\ Byerl - A'ame`asoppe on conv_,anre
Address (Number and Street)
_ Branch IN 47648
Code
certify that this Sales Disclo
d is prepared in accordance
5
Hall Partenheimer & Kinkle
E -mail
2 - Name as appears on conveyance document
Address (Number and Street)
Fort Rrnnch IN 47648
the best of my knowledge and belief, is true, correct
6111 -5.5 "Real Property Sales Disclosure Act ".
S- IDENTIFYWLL ITEMS THAT APPLY
Buyer? - Nameg5oermns on conveyance document
Address (Number and Street)
Fort Branch, IN 47648
THE SALES DISCLOSURE EO RM MAY BE USED TO APPLY FOR CERTA IN DED UMO YS FOR TH IS PROPERTY. IDENTI FY ALL OF THOSE THAT APPLY.
✓❑ ❑
1. Will this property be the buyer's primary
gy Heating /Cooling System
residence? Provide complete address cf prima
❑
residence, including county:
6155 S 650 F
Address (Number and Street)
Fort Branch
IN 47648 Gibson
City, State ZIP Code County
r]
2. Does the buyer have a homestead in Indiana to be
E]
vacated for this residence? If yes, provide
8. Is this property a residential rental property?
complete address of residence being vacated,
Q✓
including county:
Address (Number and Street)
Fort Branch IN 47648 Gibson
City, State ZIP Code Caun v
✓❑ ❑ 3. Homestead
owner contact name
E -mad
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
b>� file��
ja ofguyerl < { -' /. ,nature cfBuyer2 /5p e
Printed
Last S digits of Buyer l Driver's State Last S Digits
License /ID /Other Number
Last S digits of8dver2 1Spouse Driver's State Last S DigitsxSocial Security
Number License %iD /Other Number