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HomeMy WebLinkAboutHomestead_Kelley (2) . SDI?ID �, Pate 2 IN'DIANASALFSDISCLOSDREFORDI „ > i r s �, 'r. - 0� ,: it o.r+n iT} r.t ,afralts � � ; ' _,•,.. , r,'t a,'..+xrr v a Win, w i 1In t. :1-. V,igi k r r1 a w».z...R tiErn+�.....L' 1....+41.;..'_. �._.. _Attorney rt Low _ Prep:to'oft e:S:loGtale.i rtFar» MC11(1rmld[VA!Oi 120 S.Mato Street Company ,I ircrr(tivmhrrard5tnatj ,---- Princeton,tadhttit�47f 7t7 ellicII Tetepii64giumtxr CV,Stow.o+NI 2tP rztie 1. ,^ r Y t t� .11.1(: t � .;, ,x ir_r i Y' �9. . 5 i 1;.5�t j' r- "I s+..r:11.:1, p,��fl .1�'ti 1 Wi t, f s y • •.� t , r.,r ,j 1 � ; r ,7j ,, r'Y�r..�: .4,1�: .i i r i s r F a�i;is):R(S�%GRA�'`1`0€t�S��?Gr �:.�_� b ...+. �, �• 1 _DE11181/1 G} iJH _ .G9I 1 .11 S.CEI1J- a Scl(cr!•Nam 0;appecrsoporvrfoncedocurral Safer 2-Nltrroa:epFarsoncorvnvr,e4drtrmu in7.FRt3NOPFinAA C;T. _ 7 FFfrtz�t F�C13�C Astili s(Mirol coil Serra) t Adires(Nulb rcndStr=rot) PAt ki nFsFPT CA 0?P11 RAIN DF,SFRT.iA tt7?11_ C(ty,Stale jM2IP.Cede 0y,4iiiie,ern J21P Coed Tx'/clrtonoNtrn r G•mall ekpkern11uriEcr . under penalties of periuiy,I hereby certify.that this Sales Disclosure;to the best ofmytcnawledge andlieffef,is true,correct and complete as required fry law,and Is prepared In accordance with.IC6=1.:1.5.5,"Heal PropertySalesDller,sttr Actft. Sigrralvir paella S ndurtofScItcr rtFt tS Nt_S t•1ti LSPINIF_SPIII.JH Stpn Dab){kits/DD(rrr!! „, FKitud Name-c(Se'(er` S!0n Dcta K10.1)/M1 FrNnicdN;amgd(Selly „ t:P -1±A" EIt S j_G ',Ltd':'tiratibICII?OR',I': 4A,IiIt`CX`1`, X%`173Ut1GI`0. ;IY3gi t LG' g .I j ' " ,,I i ',p.. „,Sft, -.�1 GAt,FIN RAY KF.I .,FY [Myer!.NowaropA=rxa0ronv a li n:twit Foyer2•ldarnasoppearsprrmn nnratdoturatst, 5 p S.FtG1-lThi AVENUF, ,td�'res(ttunlbrrcndS,7cet) ' Mirka:(1 urDardrdStrrrt} , NAUFISTADT,IN 476 t CV TOAKPM!FOR CERTAIN 6P.Ot1Ct1O SIO PROPERTY.to NTIFYAL,OF ItAT - .-4 is to CODUOU ip•+2 VES Na Cofl1Tt(I!! . GI3 C 014.14.`:. ,,.; . ', ❑ 0 1.Will this property be the buyer's primary JZ 0 3.Homestead i residence? Provide complete address of primary a Iteatin alingSystem residence,including county: 0 Q 5.Wind power Device ,LNJr:tt(Nfuto arand f rj 0 Q 6.Hydroelectric Power Device 1 ll. -6trf l ,. l l\1 4/7 6, f (6 Sonl ❑ 0 7.Geothermal Energy Heating/Cooling Device C(ry,Start ZIP ado cauric/ 0 0 $.Is this property residential rental property? ❑ [J 2.Doesthe buyer have a homestead In Indiana to be vacated for this residence? if yes,provide 0 © 9.Would you like to receive tax statements for this complete address of residence being vacated, pro,e .4 a - •• 'fatlide cinstactinfo matlan including county: elow,Please see Instructions i •. e Information, Not available in all counties) /Idrr (Nurbcr alai Sorel _ r �/}(�� Caurt} �� ��^�W �OV r�/Vv• T3 -00q C(ry,Slate ZIP Cede •• ...i, ,tumr conflict riaFra R•rtivtt Number Ltiertta/t!1/OthcrNi usher JNDIAN'A SALES DISCLOSURE FORM SDF ID: Pag ) PREPARER li...,Z:. .- _.z..._ ,_ M . . _-_ ,.. . _in...,-._. ._ ,-...... James G.McDonald, III Attorney at Law Preparer of the Sales Disclosure Form Title 120 S. Main Street McDonald Law Office Address(Number and Street) E-mail L. ELLER(S)/GRANTOR(S) . . ..�_,. . e. ia;:-.: .... _.. w.., ,:,.-::,,,Li' ---w ,,' DFNIS M. SCHUH CONNIF SCHUH Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 107 FRANCFSCA CT. 107 FRANCFSCA CT. Address(Number and Street) Address(Number and Street) PALM DFSFRT, CA 92211 PALM DESERT. CA 92211 City, E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co a e as required by la , nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". iii, i /�1 cam �' - � .�l� Signature ofSeller_j (Signature ofSeller DENIS M.SCHUH 2P 2U CONNIE SCHUH _ o?a do?(� Printed Name of Seller t flag ate/ S n Date MhfJDD/YYf'})� Printed Name of Seller `--, Sign Date(MM1DD1YYYYI-1 F 13UYER(S)/GRANTEE(S) ,•,APPLICATION.LFOR PROPERTY TAX DEDUCTIONS IDENTIFY ITEMS'THAT AMU::- Si GALEN RAY KELLEY Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 500 S. EIGHTH AVENUE • - Address(Number and Street) Address(Number and Street) FILF HAUBSTADT, IN 47639 City,State,and ZIP Code City,State,and ZIP Code APR 27 2020 Telephone Number E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOS HAT AP Y.1a___, YES NO CONDITION YES NO CONDITI Q�IRSOPI COur la SDI I- ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead OR il residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ yi 6.Hydroelectric Power Device City,State ZIP Code County ❑ g 7.Geothermal Energy Heating/Cooling Device ❑ 0 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) City,State ZIP Code County Primary property owner contact name E-mail 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".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) Signature of Buyerl Signature of Buyer2/Spouse GAI FN RAY KFI LFY Printed Legal Name of Buyer 1 Sign Date(MM/DD/YYYY) Printed Legal Name of Buyer2/Spouse Sign Date(MM/DD/YYYY) Last 5 digits of Buyer 1 Driver's State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security License/ID/Other Number Number License/ID/Other Number