Homestead_Dozier INDIANA SALES DISCLOSURE FORM SDF ID:_ Page 2
D.PREPARER
J. Robert Kinkle _ Attorney
Preparer of the Sales Disclosure Form Tide
219 N.Hart St, PO Box 13 Hall, Partenheimer 8 Kinkle
Address(Number and Sweet) Company
_Princeton, IN 47670 812-386-0050 jrkinkle @hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) _
Wini G Wilkinson
Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document
21:1 N,Third Ave
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn lete as re uired by law, . d is , -din accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
•
Signature of Seller Signature of Seller
/70r
Wini G Wilkinson 7
pp'' ??a<_
Printed Name of Seller Sign Date(MM/DD/YYY1) Printed Name of Seller Sign Date(MM/DD/YfYI
RjSJjG'RfrN-TEE 5)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Jade C.Dozier _ Leah N. Dozier
rs on conveyance document Buyer 2-Name as appears on conveyance document
2578 Top Hat Road 2578 Top Hat Road
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES • CONDITION
0 ❑ 1.Will this property be the buyer's primary fa ❑ 3.Homestead I /
residence? Provide complete address of primary • FA o ar Energy 'ea • • , ri
residence,including county:
211 N.Third Ave ❑ 12 5,Wind Power Der! nn q
Address(Number and Street) ❑ Q 6.Hydroelectric Po vet DpgL 113
Princeton, IN 47670 ❑ Q 7.Geothermal En Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this�(ipgge(� enta property?
vacated for this residence? If yes,provide ❑ ❑ 9.Would you FiPc cCPWWi`z Sq>jficigg is for this
complete address of residence being vacated, property via e-mail?(Provide contac`E'111formation
including county: below.Please see instructions for more information.
N. . - . ..
Address(Number and Street)
City,State ZIPCode County —
24-//- ld -/v.�.00,z . yot,_ r, a.F�
u Mary property owner contact name E- all
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 6-1.1-5.5,"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 fi
�natre erl Signature of Buyer2/Spouse �-,t .?
Jade C Dozier 7 -jC''j i> J eah N Dozier 07-/9"3 J