Loading...
HomeMy WebLinkAboutHomestead_Moon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2•la:P,REPARER. -- _ , :- Roman Ricker 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 rricker(Thhpk-law.com City,Stale,and ZIP Code Telephone Number E-mail -E:.SELliER(S)/GRANTOR(Sf' --._ ___ __ _ , ---'__-- William Michael Hurt Charlotte M Hurt Seller l-Name as appears on conveyance document Seller 2-Name as a ears on conveyance eyance document 311 Hawthorne Drive 311 Hawthorne Drive Address(Number and Street) Address(Number and Street) Under pe hies of perjury, I hereby certify that t is Sales Disclo re,to the best of my knowledge and belief,is true,correct and�iom i s required byw,and ispre in accordan with LC 6-1.1-5.5,"Real Prope Sales Disclosure Act". xsl1+ t_ � y • u f rj�($t l F•Q l ` It rte( Signature of �5'ignatore of Seller William Michael Hurt 5t 9117 Charlotte M Hurt 07 -19-)01 7 Printed Name ofSeller Sian Date(MM/DO/YYYY) Printed Name of Seller S(an Date(MM/DD/YYY1) ;F:BUYER(S)`/,GRAN,TEE(S)j_AP,@LIGATION,T,OR PROPERTY∎TAXiDED.UCTIONS-11DENTIFYLALL.ITEMS_THAT;APPLY ' ' - ___ Buyer Daniel-N A.Name an C.Name Buyerl�N'ame as appears on mnvnance document Buyer 2-Name as appears on conveyance document 7850 S. 20 E. 7850 S.20 E. Plirk Address(Number and Street) Address(Number and Street) �j Fort Branch, IN 47648 YES HE SALESDDISC LOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS(PROPERTY. IDENTIFY ALOLU F THOSE THAT APPLY. `(ki 0 ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead S4T0 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System R residence,including county: 405 S Seminary Street ❑ IN S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 ❑ Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Z 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 ❑ z 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 availlabllQ-in all counties.) Address(Number and Street) 1,07—/,9 .af/ /L-,/�J/r-L. G -OA i aniel A.Moon and Jillian C.Moon 4E/ City,State ZIP Code County Primary property owner contact name E-mail