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HomeMy WebLinkAboutHomestead_Saucerman • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _DPREPARERx - trt7r., J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St., P.O. Box 13 Partenheimer,Kinkle&Ricker Address(Number and Street) Company Princeton. IN 47670 812-386-0050 irkinkle(&hpk-law.com City,State and ZIP Code Telephone Number E-mail • :E.,SEGCER(S)/.GRANTOR(S)h _ = _ ' -.:r—" — T— 7.". -- Thelma Irene Whitehouse by Kevin Whitehouse Attorney-in-Fact Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document • 2931 Stephens Manor Drive 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". X! l✓/ `ignature of Seller/ / Signature of Seller Kevin Whitehouse Attorney-in-Fact 7%VOW/Z Printed Name of Seller SignDate(MM/OD%YYYY)I Printed Name of Seller Sign Date(MM/DD/Yin) i•F::BUYER(S)'/.GRAN:TEE(Sk APPLICATION)FOR'PROPERVE2TAX,,DEDUCTIONS-ilDENTIFYrgGC17Yt g.H Try. • „ - �- Rebecca J. Saucerman 11~ ®g 9 dq Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 300 E. Sinclair Street,Apt. 11 AUG 7 2017 Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 6670E 350 N 5.Wind Power Device Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Francisco, IN 47649 ❑ 2 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County WI ❑ 2 2.Does the buyer have a homestead in Indiana to be ❑ 8.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 including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) /� Rebecca J.Saucerman(,X(p- oO C o-, cop(P /' , City,State ZIP Code County Primary property owner contact name E-mail