HomeMy WebLinkAboutHomestead_HoffmanSALESDISCLOSUREFORM SDFID:
Laura Rininaer Closina Coordinator
Preparero(rheSolaDtr�lmurzFom� iy�r
7820 Eaale Crest Blvd Ste 201 Reqional Title Services. LLC
Addren (NUmberond5veet)
E�mall
RicharA C1 Roard anA Qonmia l Bmrd RPVOCahlr t ivin9 Tn ct
Sd/er 1� Nome as appmrs on canvryvnce dacument
� 1259 N Main St
Addrm (Numbrl and5tr[et) .
Prinreton IN 47F,70
Ciry, Sfott and LPCode
data�i March 6 2014
Shco 1� Name as appmrz an cwveyonce dxumm[
Addrect (NUmber and Sbtt[)
Clry, StaK and ZIPCode
Under pen er'u , I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and plete as reqw b w, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
�..... ��
Signamieo e rl p Signa rev(Sel/v
Apf1I L. BOafA SIICfPSSOf TNC�PP ' ' ' � o - � � Gina Staley. Successor Trustee � - a & - � �
Ptln[edNameo Sd/er 5! n�att ww DO PnntedNameo Seller Si nDate MM DD
F. BUYER S GRANTEE S-APPLICATION FOR PROPERTY TAX DEDUCTIONS-1DENTIFYALL ITEMS LY
n i n ff Douglas Keith Hoffman
� mnveyancedxummt Buynl�Namearappmnonronvryvncedavmmt
-7242 Loa Lick Rd. 7242 Log Lick Rd. �€$ }�� ��
Addres (NumW and5trret) Addres (Num6u andSbett)
Florence. IN 47020
Clry,
THE SALFS DISQOSUAE FORM MAY BE USED TO APPLY FOR ffRTAIN DEOUCfiOYS FOR OF THOSE THAT MPLY.
❑✓ ❑ 1. Will this property be [he buyer's primary �
residence? Provide complete address oFprimary
residence, including county:
1259 N Main St
Addrm (NUm 6er and Strttt)
Princetan, IN 47670 Gibson
Ciry, SW[e LP Code Counry
� Q 2. Does the buyer have a homestead in Indiana to be
vaca[ed for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrm (Numbv and Sveet)
❑ ❑✓
❑ ❑�
❑ ❑�
❑ ❑`�
❑ ❑✓
3. Homestead
Energy Heatlng/Cooling System
5. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Heating/Cooling Devite
8. Is this property a residentlal rental property?
9. Would you like [o receive tax statements for [his
property via e-mail? (Provide contact in%rmatlon
below. Please see instructions for more information.
-� a . o b -�oo
�� Pnmarv n�onerN owner ronWtt nam< E-mafl
Under penaltles of perjury, l hereby certify [hat [his 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-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social5ecurity and Driver's License/Other numbers are not ecessary if no Ho ad Deduction is
being filed.)
.vtir.��A cL�, 1���.t�r- �laa/�co —
1 am.eoJ7i�at %�� -� SignamreofBuyerl/Syoure
Jennifer Lynn Hnffman Doufllas KPith Hoffman � I� � 1�