Loading...
HomeMy WebLinkAboutHomestead_RichterINDIANA SALES DISCLOSURE FORD1 SDF ID: Page 2 D.PREPARER J. Robert Kinkle Preparer a%rhe Sales D'udosure Form 279 N. Hart St. PO Box 13 'ress (Number and Sb'ee[J ., ceton IN 47670 Ciry, Smte. and ZIP Code i. Seller ]- Rome ns nppears on ronve��ance dacument 604 N Church Street Addres (Number nnA 5beetJ Fnrt 8ranrh IN 47R4R Cinc Smte, and ZlP Code �/ Title Hail, Partenheimer & Kinkle Compony E-mail Seller Z- Name as appears on conve�nnre docvment Address (Number ond Sneet) Ciry. Smte. anAZIP Code Under penalties of perjury, 1 hereby certify [ha[ this Sales Disclosure, to the best of my knowiedge 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". X��iL/ir� l"�' T—/��� �Signamre of5eller Signa[ure of5eller FOR PROPER7'Y Buver I- Name as appears on cc .4ddress (h'umber md SlreetJ '�ubstadi. IN 47639 , E-moil � TelephoneNumber THE SdLES DISCIASURE FORM A1A1' PF. USED TO APPLY FOR CERTAI.Y DEDUCf10N5 FOR THIS PROPERTY. I DE4TIFY ALL OF THOSE THAT APPLY. Q � 1. Will this property be the buyer's primary residence? Provide complete address of p�ima�y residence, induding county: dddres (A'umber and StreetJ Fort Branch IN 47648 Gibson Cipt Sm�e Z(P Code Counry �� 2. Does the buyer have a homes[ead in Indiana to be vacaced for this residence? If yes, provide complete address oFresidence being vacated, including munty: Address (Numbe� and Sveer) Ci% Smte ZIP Code loun9� YES � ❑ ❑ ❑ � ❑ ❑ NO ❑ ❑✓ ❑✓ � � ❑� ❑✓ 3. Homestead 4. Solar Energy Heating/Cooling System 5. Wind Power Device 6. Hydroelectric Po�ver Device 7. Geothermal Energy Heating/Cooling Device 8. Is this properry a residential rental property? 9. Would you like to receive tax statemenu for this property via e-mail? (Provide contoct informotion below. Please see instructions for more information. Not availa6le in all coundes.) ��-�9-� S -� /oaa a � 8`oa � nnifer M. Richter 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 Ac[". (Note: Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is being filed.) , rn �o�urenfBupe 9 SignamreofBy�er2/Spouse V londfcr AA R'rf tP� I I �� I �� PnntedLegalNamen�Buverl SignOn[.(HA DD/1YYYJ PnnredLegalNameo/Buyer?/Spouse SignDare(MM/DD/VI'YY) ��� � I�� Last 5 digiLS o(Buyer 1 Driver's Sm[e Las[ 5 Digits o%Social Securiry Num6er Last 5 digiGS o(Buyer7/Spouse Driver's Smte Last 5 Dlgiu of5acial Security License/!D/O[herNum6er Number License/ID/O[herNum6er _' '� ... . . .. .. .....� .._-._._. .. .