HomeMy WebLinkAboutHomestead_Waldroup H.PREPARER •
Preparer of the Sales Disclosure Form Title
J. Robert Kinkle Attorney
Company
Address(number and street,city,state,country,and ZIP Code)
219 N Hart Street, Princeton IN 47670
I.SELLER(S)IGRANTOR(S)
Seller 1--Name as It appears on conveyance document Seller 2-Name as appears on conveyance document
Gary W. Biel Sherri L. Kelley
Address(number and street) Address(number and street)
803 E. Locust Street 7808 Fenwick Street _
City,state,and ZIP Code City,state,and ZIP Code
Fort Branch, IN 47648 Navarre, FL 32566
Country Country
USA USA
E-mail address
Under penalties of perjury,I hereby certify 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.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any Info rnmoVon required to be provided,commits a Level 5 felony.
Signaler of Seller '1/1/4 n // S;g( tune of Sei
�'-. ..
Printed Name tier Date signed(mm/ddtyyyy) Printed Name of Seiler Date ned m/dd/yyyy)
Gary W. Biel 1/6/2021 Sherri L. Kelley r/6 i�L/
J.BUYER(S)IGRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—ID ALL THAT APPLY
g 14 v 1 .Ncm appears on conveyance document Buyer 2-Name as it appears o dent
Amity Waldroup
Address(number and street) Address(number and street)
. ' 1367 N SR 65 -
City,state,and ZIP Code City,state,and ZiP Code
Princeton IN 47670
Country Country j/j4z/a J/r2 iin4)
USA GIBSON COUNTY At�
E-mail address
( )
Pursuant to IC 6-1.1-12-44,the Sales Disclosure Form may be used to apply for certain deductions.Identify all of those that apply:
YES NO CONDITION YES_ NO CONDf7fON
1.Will this property be the buyers primary 1 0 3.Homes
residence? 0 16 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 91 5.Wind Power Device
0 ® for this residence?If yes,provide address: p 66 6.Hydroelectric Power Device
Address(number and street) 0 VI 7.Geothermal Energy Heating or Cooling Device
City,state,and ZIP Code County 76. _ / p ,/ a _ 304
Q c/ - O,0, Q 7 d _a.
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