HomeMy WebLinkAboutHomestead_TabbINDIANA SALES DISCLOSURE FORM SDF ID: M� Fa�e Z
D.PREPARER -
J. Robert Kinkle Attornev
Preparer ojrhe Sales Disdasrrre For.n Tide
�� N. Hart St. PO Box 13
ea(Nvmberand5[ree[)
inceton.IN 47670
Ciq; Smt4 and ZIP Code
Seller 1- A'ame as appears on conveyanre documenc
308 S Cumherland Sireel
Address (Number and Svee�)
Fort Branch IN 47fi4A
Hall. Partenheimer & Kinkie
Company
E-mail
.lanlyn R. 7pnthoefer nikla .laclyn R. .InnPs
Seller? - Name as appeors m conveyonre dorvment
308 S Cumberland Street
Address(NumberandSVeeQ
Fort 8ranch. IN 4764R
Ciry.
Under penalties of perjury, I hereby certify [hat [his Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, correct
and com le[ as •equired by law, and is prepared in accordance with I` G 6-1.1-S.S, "Real Pr_ oper[y Sales Disclosure AcY'.
�,. _ i._ �� 1 I.,.� .. n
%M7U'iu/1�1/L Y. ✓XUVl11�
Signamrea(Seller v Signam o%Selle
a �� �V Jac�yn R Zenthoefer. n/k/a Jac�yn R. Jones �''�I ��
evyerl
Add�ess (Number and SrreetJ
+a Claus IN 47579
!
domment
TNE SALES DISCLOSURE FORM MAY BE USED TO APPLl' FOR CERTAI.Y DEDUCf10N5
�✓ � 1. 4Vill this property be the buyer's primary
residence? Provide complete address of F
residence, including counry:
408 S Cumberland Street
Add�es (A'umber ond Str¢e[)
Fort Branch IN 47648
Ciry, Smre ZfP Code Lounry
�✓ � 2. Does the buyer have a homestead in Indiana to be
vacated fm� this residence? If yes, provide
comple[e address of residence being vacated,
induding county:
805 W. Melchior Drive S
Addrea (A'umber and SveetJ
Santa Claus IN 47579
[iry, smre ZIP code Counry
THAT APPLY
Buver 2- Name as a➢pears on ronve}•anre document
Address /Number ond Suee[)
City, Smte. nnd ZlP Code
IPROPERTY.IDENTIFVALLOFT THATAPPLY.
YES VO COYDITION
Q ❑ 3.
❑ �❑
❑ �
❑a
❑ ❑✓
Heaang/Cooling System
S. Wind Power Device
6. Hydroelec[ric Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residen[ial rental property?
� �✓ 9. Would you like to receive tax statements for this
properry via e-mail? (Provide conmct information
below. Please see instructions jor more in/ormation.
Not availa6le in all counties.)
�?� .�� as� �oa -�� �i� - c��
ames Ronnie Tabb
E-moil
Under penalties of perjury, 1 hereby cer[ify [hat 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 Deduc[ion is
be�,frte�.) � � �A
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'� re jBuyeN Signam�eofBuyer7/Spavse
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lomoc Rnnn'o Tahh ��
Driver'S Sm[e LastSDigiGSa�Social5ecurityNum6er LastSdigiCSO%Buyer2/SpouseDriver's Sm[e Las[SDigiCSO(Social5ecuriry
Lirense//D/OtherNumber Number License/ID/OtherNumber