HomeMy WebLinkAboutHomestead_Jones (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
:a PREPARER - ..
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.'SELCER(S)%GRANTOR(S)_
Adam G. Chitwood Alicia Chitwood
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
438 S. Gibson Street 438 S. Gibson Street
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 millet requires,and is prepared in accordance with IC 6- 1, .5, Real Proffer_Sa/ s Disclosu •ct".
._ . iii
tgna[ure of Seller .r.� Stature of eller
Adam G. Chitwood /,0(/2015 Alicia Chitwood 0 ` 2015
Printed Name of Seller Sias Da efMM/DDATYYI Printed Name o)Seller Sian-Miff(MMIDO/YYITI
rE.'BUYER(S)/GRANTEE(S)L)APPLICATION.EOR'PROPERT_YTAX.DEDUCTIONS E1DENTIFY;ALLTFEMSJTHATAPPLY__ _ ?
Chelsea F. Jones Jessica L.Adams
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document L
518 N. Short Street 518 N. Short Street
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland City, IN 47660 FFU 1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH tB .
YES NO CONDITION YES NO CONDITION 0 4, IV
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead 40
residence? Provide complete address of primary 111 IS 4.Solar Energy Heating/Cooling SystenPR
residence,including county: ❑
S.Wind Power Device
Address(Number and Street) ❑ IS 6.Hydroelectric Power Device
❑ IS 7.Geothermal Energy Heating/Cooling Device
City,State ZlPr de County
❑ .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 ❑ Er 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.
N t available in all counties)
Address(Number and Street) / - �Y /�
City,State ZIP Code 0% / - /a1 - 611 JO(� QQ7
County
Primary property owner contact name E-mail