HomeMy WebLinkAboutHomestead_Downey INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
41111REPARERI- =1\
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
PO Box 13, 219 N. Hart St. Hall, Partenheimer& Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
;8..:SEIMER(S)/GRANTOR(5)::Zi7; L74";
arg--. 7■4!;.:111;. 21.:5A-4XF .
Davarna C Rainbolt
Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
6322 N SR 65
Address(Number and Street) Address(Number and Street)
Hazleton IN 47640
Under penalties of perjury,! 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".
CAZ/z4f-Yetth
Si . tyre of Seller Signature of Seller
flavarna C Rainbolt 05/ 2.3 /2016
Printed Name ofSeller Sion Date(MM/DOMYY) Printed Name of Seller Sian Date(mm/DO/Yrill
:F:BU,YEKS)/GRANTEE(SyEAppLICATION,FOR PROPERTNIFAX•DED.UCTIONSIDENTIEYALL ITEMSJHAT•APPTTW•c-Z
Jason Andrew Downey
Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on co:Tit/El )
512 S. Hall Street
Address(Number and Street) Address(Number and Street)
.
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TITIStr
GIBSON COUNTY AUDITOR
YES NO CONDITION YES NO CONDITION
g D 1.Will this property be the buyer's primary D 3. Homestead
residence? Provide complete address of primary 9 12I 4.Solar Energy Heating/Cooling System
residence, including county:
9 151 5.Wind Power Device
6322 N SR 65 •
Address(Number and Street) El 6. Hydroelectric Power Device
Hazleton, IN 47640 Gibson 9 g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
8.1s this property a residential rental property?
El 9 2.Does the buyer have a homestead in Indiana to be IN
vacated for this residence? If yes,provide 9 g 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.
512 S. Hall Street Not available in all counties.)
Address(Number and Street) 2 JO-05 - la -too 000 7 0 I/ O /7
Princeton, IN 47670 Gibson Jason Andrew Downey
cios State ZIP Code County
Primary property owner contact name E-mall