HomeMy WebLinkAboutHomestead_Jenkins (5)INDIANA SALES DISCLOSURE FORM SDF ID: I� T I� Pa e 2
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Rav M. Drulev Attornev No. 4759-26
Preparer o(Ne Sala Disdosure Form Ttle
"OS N. Church Street PO Box 146 Law Office of Rav Drulev
Adares[Numberond5veey Company
Fort Branch. IN 47648
Emall
�EaSEL•.I:ER S t.GRANTOR $ i.'x�'..P.� .��'3,I.`r�:.. F.�.'•,i �..F"S.^� i? - --��.rr,1-c..r: �� �<za'¢ :.>+i,. �c...`'a'r+�..r�':..� t''�_.:_r:i:.., �?z.,.:�iY-.
Alan Walf
Cell� —ppmrsomm�veyvnaedacvmmt SaJfer2-Nameasappwrsomm�veynnredaarmenc
3R49 S SR fi5
Addres (NUmberand Stree[) Address (Number and Street)
(hvPncville IN 47665
E-mail Tele haneNumber E�mall
Under penal[ies of perjury, t hereby certify [hat this Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correct
and complete required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
5{qnamreo(Sel f Sgnamreo(Seller
Alan Wolf June ?1. ?012
PdntedNameo Seller Si nDote HM 0 RintedNomeo SMler Si ODU[¢(MM D
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'F�.iBUYER S `,GRANTEE S �-�MAPPL'ICATION�FOR�PROPERT,Y;TAX�DEDUCTIONS`:IDENTIEY;AtiL�ITEMSsTHAT-APP�Y;.,� �-:,`�^;_:'r , ..'c:.
Charles Jenkins
Buyer 1- Name as appeurs om m�veyonce document Buyer S- Name as app¢vrs an conveynnce daavment
105 W. Ulen Street
Addras(NUm6eiandStreeQ Addraz(Nvmberand5tree[J
Fort Branch IN 47648
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' E�mail Tele honeNum6er E-mvil
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.�' UEDURIONS FOR TXIS PROPERTY. IOEMILY ALL OF TNOSE THAT APPLY.
YFS NO L01DIT104
Q � 1. Will this property be the buyer's primary ✓ � 3. Homestead
residence? Provide complete address of primary � ,/ 4. Solar Energy Heatlng/Cooling Sys[em
residence, including county:
105 W Ulan StrPPt ❑ ❑✓ 5. Wind Power Device
Addras(Numberand5treet) ❑ Q 6. Hydroelectric Power Device
Fort Branch IN 47648 Gibson � Q 7. Geothermal Energy Hea[ing/Cooling Device
Ciry. SrureZlPCOde Coonry
� �✓ 2. Does [he buyer have a homes[ead in Indiana to be � ❑`� $� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑❑✓ `1. �/Jould you like to receive rax statements for this
comple[e address of residence being vacated, o e via e-mail? (Provide contact informadon
including county: w. Please see ins[rucdons(or more information.
ot voiloble in all munties.) � oi a 3 3� o
Addras (Num6rrand Stree[) a� � g_ i 3-y. o a- o cX� aaa -o��
Ciry, 5mte ZlvCode lounry
Pnmorypropertyownerconmc[name E-moil
Under penalties of perjury, t hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in acwrdance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
being filed.)
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LastSdigiGSO�Buyer2/SpouseDrive�s Smre Last50igiGro(Social5ecunty
License/ID/OtherNum6er Num6er Lirense/1D/OtherNumber