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HomeMy WebLinkAboutHomestead_Chitwood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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(ahok-law.com City,State,and ZIP Code Telephone Number E-mail -:8i:SEEEMSVCRANT-Ciejr:0=7--C77:11-J7-4iti.17:4-1 t7" -ft7j. l?7;x71--tfrfkA1-2_1V"lint.7. 27::--1-(1-# -Ytif .2. :%;-44.tS___-4,:212 1-74.-‘71':-1-_,,,__-'; Thp Estate of Ruth A Riddle Sellers-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 438 S Gibson St 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". L-1/A0-- fit j )-r--- 5/rattle of Seller . --- Signature of Seller Cynthia A flye Unsi pPrvised Personal Rep /-30 -/ S Printed Name of Seller Sign Date(MMIDWI)Yll Printed Name of Seller Siqn Date lA01/DOMTV1 !tFf:13IRERISI/GRANTEE(S)TiAPP,EICATIONIROWEROPERT.MAXiDEDUCTIONSnIDENTIEY:AWITEMSiTHAT:AaLIP,-/c.:7`.' '-;. V Adam G.Chitwood Alicia J. Chitwood Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 518 Short Street 518 Short Street Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 Oakland City, IN 47660 THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR T IIS PROPERTY. IDENTIFY ALL OF THO; •lAil A LY E 1) YES NO CONDITION NO CONDITION VI g 1.Will this property be the buyer's primary IZI 9 3.Homestead r r-• 2015 • 1 residence? Provide complete address of primary LA 4.Solar Energy Heating CI o mg System residence,including county: 9 IN S.Wind Power Device . Address(Number and Street) 9 g 6.Hydroelectric Pdyfer. 1-Y.AUDITOR Gibson 9 g 7.GeothernalPiltqfy laitglg/uooung uevice City.c te ZIP Code County 0 IN 8.Is this property a residential rental property? 9 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide 0 9 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. 57 r ,S;(01_7-49n 6-cr Not available in all counties.) Address(Number and Street) , /e, 7‘4,0 9& Ai-- /9-a01-000 . G S6- a)? City,State ZIP Code County Primary property owner contact name E-mail