HomeMy WebLinkAboutHomestead_Durcharme INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street,P.O. Box 13 Partenheimer,Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehok-law.com
City,Stato and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - ' : -. - - • . - •
Midwest Develooment Inc
Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document
106 S 5th Avenue
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I 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".
—Sganature of Seller Signature of Seller
Tim Mason President
Printed Name of Seller Sign Date(HH/DD/YYYY) Printed Name of Seller Sign Date(HH/DB/YYY1)
F.BUYER(S)/GRANTEE(S)=APPLICATION.FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT PP -
r m D.Durcharm
�B appears on conveyance document Buyer 2-Name as appears on conveys acts fD
415 W.Walnut Street �,/��j
Address(Number and Street) Address(Number and Street) A 3 1 MU
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION .
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county:
321 N Hall Street ❑ n S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ p 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.
/Y
�t
Not available in all counties.) {�
Address(Number and Street) 6-sp() -Q 7 • /03 -tot. 593-a -(7
Jeremy D.Durcharme
City,State ZIP Code County
Primary property owner contact name E-mail