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Homestead_Fontanillas
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2•-0!PREPARER ;, �i:__V ' r r r,: i _ f: 1 - ._ti_` ' - - "1 r . RICKY FONTANILLAS BUYER Preparer of the Sales Disclosure Form Title 201 N NINTH ST Address(Number and Street) Company PRINCETON, IN 47670 - 812-461-7512 City,State.and ZIP Code Telephone Number E-mail .IAMFS N JONFS(PFRS RFP OF FSTATF OF BARBARA MOORF) Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1648 WOI FF Address(Number and Street) Address(Number and Street) r)FNVFR CO 80204 Under pena}tie /of p rj pry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct and com et s r• sued by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sig tare ofSe - Signature of Seller JMFAN. NFS Z / (9/2015 Printed Name of Seller Sian Date IMhi/Do/YYYY) Printed Name of Seller Sian Date(MM/DDMIT)F BUYER(S)%GRNTEES)?='APPLICATION:FOR'PROPERTY~TAX'DEDUCTIONS,dDENTIEY:ALL ITEMS THAT•APELY? Ti ! " ____ RICKY FONTANILLAS Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 209 N NINTH ST A. Address(Number and Street) Address(Number and Street) PRINCETON, IN 47670 b TII E SALES DISCLOSURE FORM MAY BE.USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT YES NO CONDITION I YES NO CONDITION COL, 0 ❑ 1.Will this property be the buyer's primary 0 ID 3. Homestead lj',q0 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling SysterVP• residence,including county: ❑ 04, 201 N NINTH ST 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device PRINCETON. IN 47670 GIBSON ❑ 0 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 ❑ 0 9.Would you like to receive tax statements for this complete address of residence being vacated, pr.,.• ty via e-nail?(Provide contact information including county: ( be•i '. ' a . s-• instructions for more information. fr f ,•o a • •e - in 'II counties.) Address(Number and Street) /,�Jj/' City,State ZIP Code county d6 ' fi/d_' - V O _ 0ad ‘,2-40,22 Primary property owner contact name E-mail