HomeMy WebLinkAboutHomestead_Sisk (10) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N Hart St. Hall,Partenheimer&Kinkle
Address(Number and Street) Company
Princeton. IN 47670 812-386-0050 irkinkle(Thhok-law.com
City,State,and ZIP Code Telephone Number E-mail
:E:S EL iiER(S)1 GRANTOR-Mg-1,k 4Ar (iTfc.'-iytil 2-?:
Anthony W Hellums Sondra D Hellums
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1817W Burlington Place 1837 W Burlington Place
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 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 complete as required y la ,and is prepared in accordance with IC 6-1.1-5.5,"Real Pr erty Sales Disclosure Act".
a 1 ci? '02 7
77/14t 417 7- /5— ,--5ovvt.-- D. la
c'Thignattire o Signature of Seller
Anthony W Hellums Sondra D Hellums
Printed Name of Seller Sion Date D414/00/17111 Printed Name of Seller Sion Date(MN/DO/MY)
.:F.,BUYER(ST/GRANTEE(S)ZAPPLIGATION.EORTPRZIRERTN,TAk.DEDUCTIONS=IDENTIFY:AL rr AT: PELY.7/77-147t.",
Joshua D.Sisk
Buyer!-Name as appears on conveyance document Buyer 2-Name as appears on con an 0
1600 Taylor Ave.
Address(Number and Street) Address(Number and Street) MAR 2 - 2015
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
171 0 1.Will this property be the buyer's primary D 3.Homestead
residence? Provide complete address of primary 0 M 4.Solar Energy Heating/Cooling System
residence,including county:
12 5.Wind Power Device
3330 W Broadway St
Address(Number and Street) jA 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson U g 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
12 8.Is this property a residential rental property?
0 u) 2.Does the buyer have a homestead in Indiana to be th
vacated for this residence? If yes,provide U U 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)
Z 104 1• /0 a Zoo- C;Dli, 370
City,State ZIP Code County
Primary property owner contact name E-mail _