Homestead_Jones (12) 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. P.O. Box 13 Hall, Partenheimer 8 Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
c,-1...r -r -- .',": 1 :1 r'r.-..--- -: - --.11, : r_.ii. • ,,,L, :
Rick A Vat ghn Tammi I Vaughn
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12344 S Brooke Drive 12344 S Brooke Drive
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 A A
req law,a is prepared in accordance will!. IC 6-1.115.5,"Real Property Sales Disclosure Act".
44,q_no, ti.
Signature olteller Signature of Seller
Rick A Vaughn 06/ /2016 Tammi L Vaughn 06/,u /2016
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sion Date(atinDifYYY)
...F.BUYER(S)/GRANTEE(S);:APP.LICATION,F.OR'PROPERTY.TAX'DEDUCTIONS=ADENTIFXALL ITEMSLTHAT_APPLYOz_:,_ E -
Galen Jones Debra Jones
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
903 Mohawk Drive 903 Mohawk Drive
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. JUN 2 7 2016
YES NO CONDITION YES NO CONDITION
0 0 1.Will this property be the buyer's primary 171 D 3.Homestead
residence? Provide complete address of primary ID IA 4.Solar Energy Heaerladesliggity ty —
residence,including county: AUDITOR
0 12 5.Wind Power Device
12344 S Brooke Drive
Address(Number and Street) 0 Z 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson D El 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 8.Is this property a residential rental property?
0 2.Does the buyer have a homestead in Indiana to be 0 0
vacated for this residence? If yes,provide 0 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.)
903 Mohawk Drive
Address(Number and Street)
Fort Branch, IN 47648 Gibson Galen&Debra Jones(96 23.-16-mo -co J.citr)ooav
City,State ZIP Cade County
Primary property owner contact name E-mail