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Homestead_Yeager (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER .- - • J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer 8 Kinkle _. Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(ahpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) • James M Williams Marilyn S Williams Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1905 Cottonwood Dr 1905 Cottonwood Dr Address(Number and Street) Address(Number and Street) 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". Signature of Sell -NA sore ofS �r � James M Williams O1 `Y 111 7 if t Marilyn S liams 77/94/ Printed Name ofSelle Sian DatettM/oa/YYY1l Printed Name of Seller Sian Date a M/OOM1T1 F.BUYER(S)/GRAI E(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - 1 Buyer Name e as Donna - Yeas appears Buyerl�Name as appears on conveyance document Buyer Z-Name as appears on conveyance document 22 Burgundy Place Drive 22 Burgundy Place Drive •Address(Number and Street) Address(Number and Street) v0 10N4 O'Fallon, MO 63368 O'Fallen, MO 63368 IAQV 1 t- • HE SALES ODISCLOSURE S E FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TillS PROPERTY. IDENOT`D ALL OF THOSE THAT APPLY. G`eSOtt cA) 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 310 Hawthorne Drive 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 i all counties.)) Address(Number and Street) d/ -a-i - 7 of-° //^/��/,L,en oM7 City,State ZIP Code County Primary property owner contact name E-mail