HomeMy WebLinkAboutHomestead_White (21) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
iDilPREPPARER:..r .•' :.ft rf s.- ..y--.rr.- .+'+ .7 :21'% -.. n.. .r. t. ,it . , . :T.' ,
J. Robert Kinkle Attorney '
Preparer of the Sales Disclosure Form Title
219 N. Hart St., P.O. Box 13 Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
:E-l7SEL•LER(SiftitANTARISTh - .; EI ,,i7.z,4 _:Al. l..y.,i ,, i :::: i57`;' .y. •{'.`:.•
Ronald D Johnson
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8920 w 4no s
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
ancl
complete as required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
c--naLQ_d O• C-4---
SignatureofSeller Signature of Seller
Ronald 0 Johnson 03/ a2Lf /201
Printed Name of Seller Sian Date(MM/DD/YYYY) Nam RID Sian Dae(MN/DD/YYYV)
RHUYER(V///,GRANTEE(S),.APPLIGATIONjFOR�PROPERTsYLTAXi E-U T N AL;OTEMSITHATfAPP,05
Ricky J.white
Buyer I-Name as appears on conveyance document , yrje 97020s18peors on conveyance document
312 S. Race Street IYI/-1R LI U 10
Address(Number and Street) -ddress(Number and Street)
Princeton. IN 47670 la..
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIlIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0
713 S Gibson Street 5.Wind Power Device
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson _ ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0(1) WI 2.Does the buyer have a homestead in Indiana to be 0 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, 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) n1(a- ^� CO 17��YY1 --/1-
Ricky J.white t�( 'OC-v '- `" """•5� Ca rJ
City,State ZIP Code County
Primary property owner contact name E-mail