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HomeMy WebLinkAboutHomestead_Smith (75) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall,Partenheimer 8 Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(ahhpk-law.com City,State,and ZIP Code Telephone Number E-mail !E SELLER(SI/GRANTOR(S)L -- - _ =1° T" Ernesto Ortiz Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1905 Taylor 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 complete required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Signature of Seller / Signature afSeller Fmesto Ortiz 7O 3/%0 Printed Name afSeller Sian Date(MM/DD/YYYYI Printed Name afSeller Sian Date(MM/DD/YYY11 F:.BUYER(S)'/,GRANTEE(S)E:OR 'IEATIONIEO PR ROPERWTAX.DEDUCTIONS IDENTIFY''ALL' ITEMSITHATiARRLYE . , .-t1 BuyerI-Name me as Smith / T It D Buyerl-Name as appears on conveyance document Buyer 2-Name as appears on mnveyanc oFv�nt� 207 Johnson Ave ..LJL 111 7 Address(Number and Street) Address(Number and Street) - Princeton, IN 47670 MAY 142016 PPPLY. Y RUUIIOR YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 207 Johnson Ave ❑ 12 5.Wind Power Device Address(Number and Street) ❑ 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 17 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) a - -©g City,state ZIP Code L JO_W�. 9,�- �? County Primary property owner contact name E-mail