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HomeMy WebLinkAboutHomestead_Whitehead (2) . 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 Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 Irkinkle(�hpk-law.com City,State,and ZIP Code Telephone Number E-mail- E.SELLER(S)/GRANTOR(S) ..- - . - - - - John Robb Jon Rnhh Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 310 S Ohio St 1506 Hawthorne Ct Address(Number and Street) Address(Number and Street) Hazleton IN 47640 Princeton IN 47670 Ciry,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as re uire by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Jnl+ KU 4„ e 1 . Sigma re of Seller +-7 Signatu (Seller C� John Robb ! 16 -71 Jon R b w —/it el Name of Seller Sian Date(MM/DO/✓1YY) Printed Name of Seller Sian Date IM,42/DO/Y1ll F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Roger Whitehead Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9321 S State Road 165 T Address(Number and Street) Address(Number and Street) 1 ll Posevville, IN 47633 Ciry,State,and ZIP Code Ciry,State,and ZIP Code Telephone Number E-mail Telephone Number JUL 1 1 2014 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS THAT APPLY. YES jN�O i CONDITION I YES NO CONDITION Ill tom' 1.Will this property be the buyer's primary ❑ 3.Hom�t@EtDN COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county:C- (11 S.Wind Power Device 177 L L- y ,2 e Rd 'lidless(Number andStreet) //// ❑ Q 6.Hydroelectric Power Device '/_c 71,e t`z» / A. 4 7 6- go ❑ Q 7.Geothermal Energy Heating/Cooling Device Ciry,State Z,IP��ada County ❑ L� 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) '1(<) - ' r /'�' 1 C_�/ a L.f/ -�ol- �oo� l�7 City,State ZIP Code County Primary property owner contact name E-mail J ■