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HomeMy WebLinkAboutHomestead_Lung INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Dom.P,REFUET is=,-�^,'ct�i fi- ` " '7'•.1. --,-'Ai, 1-,,a LC' �z '- ,•y, - s s -.r •rc, J. Robed Kinkle • Attorney Preparer of the Sales Disclosure Form Title - PO Box 13 Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(athpk-law.com. City,State and ZIP Code Telephone Number E-mail EASE gniS)Y/.GRANTO tIS)N' -` i _ •st n' is a 5,Ctir: 4a i�', i a cEs 4 Midwest Development Inc Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document 106 S Fifth 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 as required w Seller ( if uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". . cure Signature of Seller Tim Mason 031/1/1-.0i lo Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name o(Seller Sian Dote(M.N/DD/YYYY) FBUYER(S)/,GRANTEE(S), APP,I:ICATIONtF,ORIP.ROPERTiYETAX:DEDUCTIONS_IDENTIF,Y('ALLnITEMSiTHAT,APP.IiYa Danny K.Lung S . Shirley Lung Buyer 1-Name as appears on conveyance document Bu yer2-Name as appears on conveyancefel$ E( 715 S. Stormont St. 715 S. Stormont St. Address(Number and Street) Address(Number and Street) 2� Princeton IN 47670 Princeton IN 47670 MAY 16 THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TA,iT"APPLY. YES NO CONDITION YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary (11 © 4.Solar Energy Heating/Cooling System residence,including county: ❑ n S.Wind Power Device Address(Number and Street) ❑ z 6. Hydroelectric Power Device Ciry,Smte ZlPCode County ❑ [71 7.Geothermal Energy Heating/Cooling Device ❑ � 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) 1 City,State ZIP Code County x6- 1)-0'7- `boy-003.411-pa8 Primary property owner contact name • E-mail