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HomeMy WebLinkAboutHomestead_Gilmore INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 • _I--- � -,7.-.C:7-7._ -- --7- 'D:;PREPARERt-- _.._.d '� . . - .L {- ' i'�- -- 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 812-386-0050 irkinkle(@hok-law.com City,State,and ZIP Code Telephone Number E-mail 1-E.SE LER(S)/GRANTOR(S): - � -• - ----- ..- - - -'�--- - — -- - -- Velma Jan Skelton now Velma J Pedersen Tommy D Pedersen Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1706 7hale Smith Road 1706 7hale Smith Road - Address(Number and Street) Address(Number and Street) I a Grange KY 40031 La Grange KY 40031 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (/2] - - -/20 D. PAe�C,n.C,nJ Signature of Sell• Signature of Seller kJ Velma Jan Skelton Pedersen '7 /O-9 t'q Tommy D Pedersen Dy//O/ a o/y Printed Name of Seller Sian Date(M.N/DD/1Y/'11 Printed Name ofSeller Sign Dot ;F::BUYER(S)/GRANTEE(S): APPLICATION'EOR.PROP.ERTYTAftEDUCTIONS IDENTIErg. .ITEMWHATAPPLY- _ Richard D.Gilmore Melissa S.Gilmore Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 117 S. Broadview Circle 117 S.Broadview Circle Address(Number and Street) Address(Number and Street) FILED 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 YES NO CONDITION l/ /l �.A� 0 El 1.Will this property be the buyer's primary 0 Li 3.Homestead GIBBON COUNTY — YYAAUD IT O 4 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: /(� ,may, 12 5.Wind Power Device Address( ' tubber and Street) /tC /gw"` /r Cr" ❑ 0 6. Hydroelectric Power Device / /'t/Gc1�� /ti 74- ❑ 0 7,Geothermal Energy Heating/Cooling Device Ciry r.e ZIP code County ill 2.Does the buyer have a homestead in Indiana to be ❑ B. Is this property a reside al rental property? vacated for this residence? If yes, provide ❑ ❑ 9.Would you etv tax statements for this complete address of residence being vacated, pro e vi t i . 'Provide contact information inc ding county: C. lase see instructions for more information. / �/7 .4,4,E /�R7A ��1 otavailable in all counties.) Address(N be and Street) / 'f/ �� fit/ �A /vcor�v1 ,' al0-jl - ja -3ot - ooa . /0Z 9 - oac4 Ciry,State ZIP Code County Primary property owner contact name E-mail