HomeMy WebLinkAboutHomestead_Jenkins (9) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
eD:kPREPAR8R ecr .- iv? t , e a',sa,tiMl ei". . .'•'"ft?°i3 '4 .ti1eS c:, .?C-t T `ati
Britany N Barnes Searcher
Preparer of the Sales Disclosure Form Tide
226 W Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com
City,State,and ZIP Code Telephone Number E-mail
`E:I SELLER(S)%GRANT OR(SP:5tA: _- .1 ,a:,.:..r.__ ,,$14 "-i .fit:: k a ri:. x.,L^_iiCr 1:47 > itr:, W0-e,, ,s, ,. y 4p'`g`:`e,
Reca Limited Partnership
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
PO Box 1996
Address(Number and Street) Address(Number and Street)
Irmo,SC 29063 .
Under penalties of perjury, ereby i that this Sales Disclosure,to the best of my knowledge
and belief,is true,correct
and complete as required y law,an, is e epared • accordance with IC 6-1.1.5.5,"Real Property Sales Disclosure Act".
Signature of Seller i, Signature of Seller
-
-\I,I ( 1 . .I 1• : Lan & t ,t• 0118de�11p
Printed Name of Seller 7 , 1-or Sign Dote(MM/DD/con) Printed Name ofSeller Sign Dote(MM/DO/m)
`FiiBUYER(S)/.GRANTEE( -..AP.PLICA tF,ORP:ROPERTY:TAX+DEDUCTIONS_iIDENTIFY?AL•LITEMSrTHAT-APPLY iflis"^;`,r?:I
Randy L.Jenkins
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
3308 S Center St
Address(Number and Street) Address(Number and Street) ��
Terre Haute, IN 47802
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE - Yi C, id ,
YES NO CONDITION I YES NO CONDITION DU/y7.3,
giu Li 1.Will this property be the buyer's primary [.[� 0 3.Homestead , I Ai,
residence? Provide complete address of primary ❑ IS 4.Solar Energy Heating/Cooling System
raeirience,including county:
X , \ g ` t� Sr ❑ tg 5.Wind Power Device
(„~J.A.�,ar._n„ . l /J /J��,,�`\\ ❑ p 6.Hydroelectric Power Device
_ Eit3C.C�1 u,l.,t 4i(07o Greif) 3 ❑ Ei 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code / County
❑ 17 2.Does the buyer have a homestead in Indiana to be
❑ p 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ I9 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.
�qJ/
Not available in all countt! p
Address(Number and Street) 171/0—/a —0 7 X03 �• /�/_ a-a
Randy L.Jenkins rjenkins @unitedcentrai.net
City,Stare ZIP Code County
Primary property owner contact name E-mail