HomeMy WebLinkAboutHomestead_Kirkpatrick Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Christina Lenfers Closing agent
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S)
Jessica L.Adams Chelsea F.Jones
Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document
518 Short St. 518 Short St.
Address(Number and Street) Address(Number and Street)
Oakland City,IN 47660 Oakland City,IN 47660
E-mail Telephone Number E-mail
-
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
to omplet s ired by law,and is prepared in accordance with IC 6-1.1-5 5," eal P perry Sales Disclosure Act".
atureofSet f Signature of Seller
essica L.Adams 11/09/2020 Chelsea F.Jones 11/09/2020
Printed Name ofSeller Sign Date(MM/DD/Y11}) Print me ofSeller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
_ Robert Kirkpatrick,Jr.
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
517 Cherry St.
Address(Number and Street) Address(Numberand Street)
Standish,MI 48658 �j
City,State,and ZIP Code City,State,and ZIP Code FILED
E-mail Telephone Number Nov 3U 2020 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. �---
Yx' NO CONDITION YES NO CONDITION
1.21 El 1.Will this property be the buyer's primary k 0 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary r
residence,including county: El Pi
4.Solar Energy Heating/Cooling System
❑ /:/, 5.Wind Power Device
518 Short St. ❑ 1 6.Hydroelectric Power Device
Address(Number and Street) ❑ 7.Geothermal Energy Heating/Cooling Device
Oakland City,IN 47660 Gibson ❑ IA 8.Is this property a residential rental property?
City,State ZIP Code County El ._II 9.Would you like to receive tax statements for this
0 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county:
Address(Number and Street)
26-14-18-104-001.308-007
License/ID/Other Number