HomeMy WebLinkAboutHomestead_Langworthy INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D..PREPAREReL' •- _ e:1:,r• ♦" 41 7/Te747 5 f.__ *Tsi_.ir.`� _'> .�..�63- E ._'•r s .li -- c n.?.
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St., PO Box 13 Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670
' City,State,and ZIP Code Telephone Number E-mail
E!,8P LER(SJ/•GRANTOR(S) < s-L::n- .7'‘2 7 :474.
R'a �"�'":18 u ' }T., , .'=-c "area.'"=<i_ y ..%•..::'�-
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Traci L Browning
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
103 S Collins Street
Address(Number and Street) Address(Number and Street) 07)
Francisco IN 47649
City,
E-mail Telephone Number 00\� E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my nowt \nd Obeli f,is'rue,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1.5.S,"Real Prop y Sales i t",
c, i � .owyM .( PV
Signature of Seller Signature of Seller GOP
Traci L Browning 7/30/2019 50N
Printed Name of Seller Sian Date(MM/DO YYF) Printed Name of Seller GNd Sian Date(MM/D/in/MI
/'F: B�yF.R{&} . ' T. i=AP.P,CICATIONIFOR'PRQP;ERTX_TAX, EMONS'=InRNTIPlanCLIFMESIIHAVARBIN _ . _- 1
l John R Langworthy Nancy A. Langworthy
n,tverl ^ cement B er2-Name as appears on conveyance document
2106 Boulevard Place 2106 Boulevard Place
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
City,State,and ZIP Code
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YFS NO CONDITION ITS
0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary , oar Energy Heating/Cooling System
residence,including county:
103 S Collins Street ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Francisco, IN 47649 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 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 rnunrircl
Address(Number and Street)City State ZIP Code County �a John R.&Nancy A.Langworthy 2 fn •/ q• Ds-103- -b7,1 0
Primary ry .�...+a.�._ t E-mail