HomeMy WebLinkAboutHomestead_Montgomery INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
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Roman Ricker Attorney
Preparer of the Sales Disclosure Form Tide
P.O. 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
aE;SELLERS)/GRANTOR(S)Y - : :_,- ,_._ _ ,L Z _ThL( _ ,t s
,_ ___
Tamara Mathew Brent Mathew
Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document
702 W Church Street •'r :�.
Address(Number and Street) Address(Number and Street)
Wider penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co regmr by 1 and is prepared in accordance with IC 6-1.1-S/ "Real;rope• `: e I'sclosure Act".
I .<«//iii
: nature of Seller tgnature of Seller
Talmara Mathew 07/25/2016 Brent Mathew 07/25/2016
Printed Name of Seller Sion Date(MM/DD/MI) Printed Name of Seller Sian Date(MM/DD/YYYY)
LIF BUYER(S)%GRANTEE(SY- APPLICATION EOURROPERTIYLTAX DEDUCTIONS' IDENTIE ALI ITEMS THAT AP,nir: '
Keith Montgomery Carol Montgomery
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
8885 s(E.(Number ra S. 8885 ss 550 er S. y
Address(NUmberand Street) Address(Number and Street)
Z,, '
YES NO CONDITION I YES NO CONDITION 0499, u
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead OyCO�/�i�,,
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/C/adllp••System
residence,including county: ❑ J 5.Wind Power Device �)'Op
105_6 Vonna I one
'Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 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 ❑ $ Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
I including county: below. Please see instructions for more information.
8885 E. 550 S.
Not available in all counties.)
Q
I Address(Number and Street) J _ /$ d G — 3— 000- Aft— OO
Oakland City, IN 47660 Gibson Keith&Carol Montgomery
City,State ZIP Code County
Primary property owner contact name E-mail