Homestead_Williams (12)INDIANA SALES DISCLOSURE FORM SDF ID: Pa Q 2
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J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N Hart Street PO Box 13 Hall Partenheimer & Kinkle
Address (Number and Street) Company
Princeton IN 47670
E-mail
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n�.,�i.� R �n�illiams
Seller 1- Name as appears on conveyance document Seller 2- Name as appears on conveyance document
Fd79 C 19F W
Address (Num6er and Street) Address (Number and Street)
Fort Branch, IN 47648
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
a compl e require �aw, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Donald R Williams
Printed Name o Seller S' n Date MM DD Printed Name o Seller Si n Date MM DD
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Devin D. Williams
Buyer 1- Name as appears on conveyance document Buyer Z- Name as appears on conveyance document
5503 S 225 W
Address (Number and Street) Address (Number and Street)
Fort Branch. IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1. Will this property be the buyer's primary ❑ ❑ 3. Homestead
residence? Provide complete address of primary � 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ ❑✓ 5. Wind Power Device
Address(NumberandStreet) ❑ Q 6. Hydroelectric Power Device
� 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County
� � 2. Does the buyer have a homestead in (ndiana to be � � 8• �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ ❑ 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.
��.w Not available in all counties.)
Address (Number and Street) / " v � rD � � � �� • �00 � � �� / �
City, S[ate ZIP Code County
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rimary property ownercontact name E-mail