HomeMy WebLinkAboutHomestead_Arbuthnot INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Roman Ricker Attorney
Preparer of the Sales Disclosure Form . Title
219 N. Hart St., PO Box 13 Hall. Partenheimer&Kinkte
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City.State,and ZIP Code Telephone Number E-mail
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Checter Gore Saundra Gore
Seller 1-Name as appears on conveyance document Seller 1.Name as appears on conveyance document
211 S. 1225 E. 211 S 1225 E
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660 Oakland City IN 47660
Under penal ies of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c p e equire by nd is prepared in accordance wit C 6-1.1-5.5,"Re I Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Chester Gore -/.4 Saundra Gore .512b -16
Printed Name of Seller Sion Date(A Df/Dafinal Printed Name of Seller Sian Date(.114/00/YYM
,tEfBUYE 1. rEE(S)-%APPLIGATIONYORtOPERTY:TAkDEDUCTIONSODENTIEY,ACHITEMS2TITATIAPP.EY...a:: _:;,_-_:.,L,L1-_-:::
Clarence Arbuthnot
Buyer I-No rs on conveyance document Buyer 2-Name as appears on conveyance docume
I
S. 300 W
Address(Number and Street) Address(Number and Street)
Petersburg, IN 47567 ,i
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSEdMT AP 4
YES NO CONDITION 1 YES NO CONDITION
'• L;01 i.. .
0 D 1.Will this property be the buyer's primary N 0 3. Homest-.1 'nviVAOn
.47-0R
residence? Provide complete address of prima • m n ,. . .r nergy Heating/Cooling System
residence, including county:
0 lg 5.Wind Power Device
211 S 1225E
Address(Number and Street) D IZ 6. Hydroelectric Power Device
Oakland City. IN 47660 D 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
0 9 2.Does the buyer have a homestead in Indiana to be IN 8.Is this property a residential rental property?
El
vacated for this residence? If yes,provide 9 17 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.
V
1326 S. 300 W of available in all counties.)
Address(Number and Street) a% /
r Øc1—06/ 1/9- 6°
Petersburg, IN 47567 Pike Clarence Arbuthnot
City,State ZIP Code County
Primary property owner contact name E-mail _
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