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HomeMy WebLinkAboutHomestead_Anderson (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D'PREPARER -, .. -_ 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(Whok-law.com City.State.and ZIP Code Telephone Number E-mad E:SELLER(S)'/,GRANTOR(S)! George J Ankenbrand Brenda S Ankenbrand Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 805 CreetDr 805 Creek Dr Address(Number and Street) Address(Number and Street) Under penalties of perjur$)I hereby certify hat this Sal Disclosure,to the best of my knowledge and belief,is true,correct and co.t , - e as require y law,and is pr pared in ac rdance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". -z ��n th �lilc i�thaa Signature 0T5 t?. Signature of Senn/ George .1 Ankenbrand 7 - / S - ( 5 Brenda S Ankenbrand c7-1i- /5 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name o(Seller Sian Date(Aw/DD/YYYI') F..BUYER(S)/GRANTEE(S)-APPLICATION:FORPROPERTXTAX'DEDUCTIONS- IDENTIFY ALL ITEMS THAT`APPLY; s,,` : Daniel R.Anderson Jessica R,Anderson Buyer)-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 703 E Locust St 703 E Locust St Address(Number and Street) Address(Number and Street) P THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE 1' V✓ YES NO CONDITION YES NO CONDITION end Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead TYq residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Sys F residence,including county: ❑ 5.Wind Power Device �R 6973 S 500 E Address(Number and Street) ❑ El 6.Hydroelectric Power Device Ft. Branch,IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 171 ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?r vacated for this residence? If yes,provide ❑ ❑ 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. 703 E Locust St Not available in all counties.) Address(Number and Street) �1, Ft. Branch, IN 47648 Gibson --(�- 1 -1- )3 -)(Jo-0cc - CCf -o I' City,State ZIP Code County Primary property owner contact name E-mail