HomeMy WebLinkAboutHomestead_Hill (17) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
R..PREPARER_,, T
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Tide
219 N Hart St Hall, Partenheimer 8 Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 nicker @hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E:SELLERS)/GRANTOR(S) -.
AdiCundiff Lavada Cundiff
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1210 McKinley Ave 1210 McKinley Ave
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 cam lete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
:,' ,.'t I evade Cundiff
Printed Name of Seller Sian Date IMM/DD/YYYYI Printed Nome of Seller Sian Date lM.M/OD/YYYYJ
F:BUYER(S)/GRANTEE(S)_APPLICATION-FORPROPERTY TAX DEDUCTIONS=.IDENTIFY ALL'ITEMS THAT APPLY ,..
James A. Hill
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
505 Address es (Numbest
Address(Number and Street) Address(Number and Street) �
(O
r
YES NO CONDITION YES NO CONDITION /6'& , r /"S
❑ ❑ 1.Will this property be the buyer's primary [71 ❑ 3. Homestead CO�LP lyjy--
residence? Provide complete address of primary ❑ M 4. Solar Energy Heating/Cooling LSys em
residence,including county: 0?
❑ IN 5. Wind Power Device OR
Address(Number and Street) ❑ E 6. Hydroelectric Power Device
❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 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 ❑ ❑ 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) ,/n/
City State ZIP Code County '//A5-do - (o3• " /g-at?
Primary property owner contact name E-mail