HomeMy WebLinkAboutHomestead_Stevens (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J.Robert Kinkle Attorney
Preparer of the Saks Disclosure Form Tide
219 N Hart St Hall. Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkle(othpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) ' .` . _ - _ - _ • r __
Bobby Floyd Bean Ruthie 1 ouise Bean
Seller i-Name as appears on conveyance document Seller 2-Name as appears on conveyance document -
301 Cottonwood St 301 Cottonwood St
Address(Number and Street) Address(Number and Street)
Patoka IN 47666 Patoka IN 47666 •
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
abAse11 f to as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
er Sign ature of Seller
Robby Floyd Sean /0-0.-/s- Ruthie Louise Bean /C 13-/C
Printed Name of Seller Sign Date NM/0D/YrrYI Printed Name of Seller . Sign Date(MM/DOIYYYY)
F.BUYER(S)'/GRANTEE(S) _APPLICATION FOR PROPERTY TAX DEDUCTIONS-_IDENTIFY ALL ITEMS THAT APPLY'. ;,' - - -
Deborah L. Stevens
Buyerl-Name as appears on conveyance document Buyer 2-Name as appears on conveyance` cu e7-
1 Address s (NS.umber mbe E E
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639
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THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTBQ$E I Y. .
YES NO CONDITION I YES NO CONDITION V ON CO(t.f i{{r r_—
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead T Y-,Lie, O
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ NI
301 Cottonwood St S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Patoka. IN 47666 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 available in all counties.)
Address(Number and Street)
Z(,-OH -z5 - 101 - coo 102 oao
City.State ZIP Cade County
Prima,property owner contact name E-mail