HomeMy WebLinkAboutHomestead_Medlin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
iD.:PREPARER: _ 2.72:::—'`717-r---;:- .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 jrkinkle @hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)7 _ _ --..; .- _ - 7-:: — 7-- — _-.
_
Patricia D.Vanoven
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
400 Swallowfield Drive
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and re+nplet uir by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller �l/J Signature of Seller •
Patricia D. Vanoven / p"j-/- 20/C/
Printed Name ofSeller Sian Date 0414/DO Printed Name of Seller Sian Date(MM/DD/YYYY)
`F. : . "• -. 'Tt liE(S)'=APPLIGATION,FOR�PROPERTY,TAX DEDUCTIONS:IDENTIFY ALL'ITBb1S;THAT'APPCY -
James W. Medi-. Misty D. Medlin
r••••• .-----. .,pears an conveyance document - ears on conveyance document
602 N. Race Street 602 N. Race Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
THE SALES DISCLOSDRE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO P Y.
YES NO CONDITION N CONDITION
Q ❑ 1.Will this property be the buyer's primary �_ 1 3. omeste.. f1 cg�
residence? Provide complete address of primary ❑ is 4.Solar Energy HeaN /I;,?goli4J stem
= _ _�regidgrycA including- county
D a%V_lam —o-12_s.-Wind-Power.Devi
ddress(Number and Street) ❑ 12 6. Hydroelectric P��
rr I n e. e-1-v A-, 1A, 47 197 D U II3S D.✓ ❑ 12 7.GeotherrtszlE'iAtg-RWIth YMENICtRice
City,State ZIP Code County
ID 2.Does the buyer have a homestead in Indiana to be ❑ 1:1 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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)
d6-/2-02407-00/ 990-O' Z
Ciry,State ZIP Code County
Primary property owner contact name E-mail