Homestead_OnealINDIANA SALES DISCLOSURE FORM SDF ID: )k a(0 oZoI D e0O0z) 6�0 / Page 2
D.eREPA&ER
PreporercfNe.Sales Disclosure Form
219 N. Hart St., PO Box 13
Address (Number and Street)
Title
Hall Partenheimer & Kinkle
Compnny
Princeton IN 47670
Email
Rnner M Duncan
Seiler I - Name as appears.. conveyance document
701 S Meadow Drive
Address (Number and Street)
Fvancville IN 47714
Seller 2 - Name as appears an conveyance document
701 S Meadow Drive
Address (Number and Street)
FyanCVllle IN 47714
City. State.
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my
and %�ple[e as req%i7d by law, and is prepared in accordance with 6 -1. -5.5, " ea
% /�.P.�%1 /6�1�.�� d 8ft0 /tea
Sig are hfSeller SlgnatureofSeller
Daniel W O'Neal
*9, yeerr,1�Noole as appears on cnmeyana doa,ment
Address (Number and Street) ter
TAX DEDUCTIO
and belief, is true, correct
;ales Disclosure Act ".
Debra F O'Neal
B r7 -Name os appcorson nvey.mw document
Address (Number and Sweet)
5i�19.1`4pcv1 �r_..- ILA( %G�3
City, Stare. and ZIP Cade
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES
V❑
1. Will this property be the buyer's primacy
✓❑
residence? Provide complete address of primary
residence, including county:
S. Wind Power Device
Add (Number and Street) )
'.rtcce.7_�rL�2 /v TN��
Coy, State ZIP
Cady County
❑
2. Does the buyer have a homestead in Indiana to be
❑
vacated for this residence? If yes, provide
8. Is this property a residential rental proper, ?
complete address of residence being vacated,
including county:
Address (Number and Street)
Gity State ZIP Cade Cnun4'
3. Homestead
✓❑
4. Solar Energy Heating /Cooling System
0
S. Wind Power Device
❑
6. Hydroelectric Power Device
❑
Q
7. Geothermal Energy Heating /Cooling Device
❑
❑/
8. Is this property a residential rental proper, ?
O✓ 9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
Not available in all counties.
dG- /el-i9- /oaq -�ao./ s -ao7
Daniel W. & Debra F. O'Neal
oumerconmctname Email
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 -S.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being ed.) If
/ //%Hi/ {' {l Q�L/1 nrl.(1,C
lr5 naiureofeuyerl i sigomureofBuyer2 1Spou5e
t,__:_1 W n,NPAi .I)AiUlEL QJ o'�,� L pl_-8&ZE F. Q'.15,4 L
Social Security Number Last 5 digits of Buyer 2 /Spouse Driver's State Last 5 Digits of Social Security
License /ID /Other Number Number License /ID /Other Number