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HomeMy WebLinkAboutHomestead_Jones (18) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1769417 Page 2 D.PREPARER Patti Kolb Closing Manager freparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670- 812-386-1687 broadwaytitle @insightbb.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - Keith E Kinkade . Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 219 S Gibson St. Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number E-mail Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as requir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Tf le 090L 5 / —./J Sig nfSeher 70 Signature of Seller Print''Nrr,r df.n.r fine none tuvrnnmvn Printed Velma or feller fin.,Onra tuurnnmvn F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Chelsea F Jones Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4111 N Jack Morgan Rd Address(Number and Street) Address(Number and Street) Austin,IN 47102- Telephone Number E-mail 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 © ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 232 S GIBSON ST. 5.Wind Power Device Address(Number and Street) ❑ in 6.Hydroelectric Power Device Princeton,IN 47670 GIBSON ❑ © 7.Geothermal Energy Heating/Cooling Device City.State ZIPCode County ❑ ;r] 2. Does the buyer have a homestead in Indiana to be ❑ © 8. Is 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. Not available in all counties.) Address(Number and Street) City State ZIPCode County Primary properry owner contact name E-mail Under penalties of perjury,t 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 iinnfoorrmaation,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is filed.) .,e Signature of Buyerl Signature of BuyerZ/Spouse efrCit, C t�A.-c 5//dli3 Number License/ID/Other Number •