HomeMy WebLinkAboutHomestead_Shoemaker INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
'D.PREPARER' , . - -
Kevin R. Patmore, Attorney at Law
Prepares of the Sales Disclosure Form Title
59 North Holiday Blvd.; P.O. Box 459 Santa Claus Title Company
Address(Number and Street) Company
Santa Claus, IN 47579 812.937.4100 patmorelaw @psci.net
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S); :.. P' '' v' • • - '. , .
Great Falls Timber,LLC by Vernon Knepp, Member
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4748 E. 100 N.
Address(Number and Street) Address(Number and Street)
Washington, IN 47501
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp ete as by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig attire al Seller Signature of Seller
Great Falls Timber, LLC by Vernon Knepp 03/14/2017
Printed Name of Seller Slgn Date(MM/DD/YYYY) Printed Name of Seller q�°�MM/o0(YITY)
F.BUYERS GRANTEE S)'-APPLICATION FOR PROPERTY•TAX''DEDUCTIONS„IDENTIFY ALLITE i�TJAJAPPV p N. •.
Donald Edward Shoemaker Tammy L. Dean ..J1�� JL�►'
Buyer -Name as appears on conveyance document Buyer 2-Name as appears an conveyance dorytp�tyt, 201/
402 N. 2nd Street 8718 Meadow Lane MF'1IC 2 3
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville, IN 47665 n[• •
_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES
0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead \
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling Sys[ it
residence,including county: ❑
See section F(above) 5.Wind Power Device
Address(Number and Street) ❑ 12 6. Hydroelectric Power Devic\
City,State ZIP Code County ❑ 12 7.Geothermal Energy Heating/I soling Device
❑ 12 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a reside• n 1 ental property?
vacated for this residence? If yes,provide ❑ 12 9.Would you like to r:.ei 1_ tax statements for this
complete address of residence being vacated, property via e-mail? •r/vide contact information
including county: below. Please see instructions for more information.
N/A Not available in all counties.)
Address(Number and Street)
,6—17 — A9— aoo - oo5f. SI9- odt/
City State ZIP Code County
Primary property owner contact name E-mail