Homestead_WethingtonINDIANA SALES DISCLOSURE FORM SDF ID: 1 ;Paee 2
•D: Y.REPARER
J. Robert Kinkle Attorney
Preparer of the Saes Disclosure Form Title
19 N. Hart Street PO Box 13 Hall Partenheimer & Kinkle
Address (Number and5treet)
E -mail
E.SELLER (S '.GR:4NTOR 5 -' -_- -?:i' -�a-
Donald G. Williams
Rhonda .1. Bottom
Seller I - Name as appears on conveyance document
Seller 2 - Name as appears on conveyance document
RR 9 Row R:4 - /4Az_4c_A
/1200 S• cc==P 2
Address (Number and Street)
Address(Nu/pr�mppeerand Street)
Princeton_ IN 47670
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penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
mplete r by law, and is prepared in accordance with IC 5.5" Real PSoppe Disclosure Act ".
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Printed Name o Seller S nDate(MM/DD(YIYY) Ptln[ed Na S' nDate U(M /DDTYM
F. B NTEE S `- 'APPLICATIONiFOR P ERTY TAX•DED
NS- IDENTIFY ALUITEMS;THAT-AP j
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ell- Nameas a ppearsaicooveyoncedacument
Buy - 'amens appears on ronveyance document
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Address �- ^ ^� ^^^t)
Address (yh' �^berand5trret)
THESALES ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1. Will this property be the buyer's primary
0 ❑ 3. Homestead
residence? Provide complete address of primary
❑ ❑ 4. Solar Energy Heating /Cooling System
residence, including county:
❑ ❑✓ S. Wind Power Device
LG e,�_ H 4,Td E.
❑ 0 6. Hydroelectric Power Device
A, m (Number and Street)
tZ N LE T-0,4), i✓ i7 % D b 1 0
❑ ❑ 7. Geothermal Energy Heating /Cooling Device
E] ❑ 8. Is this property a residential rental property?
Ciry, tezJPC a County
. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ E] 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
Not available in all counties.)
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Address (Aber and Street)
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Ci ,Scot¢ UP lode County
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Primaryprvperry owner Contact name E -mail
Under penalties of perjury, l 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 Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no H testead Deduction is
being filed.)
Signam reo(B Sig atureo Buyer2 /Spo use
Wrens R• IZ-6 CD
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