HomeMy WebLinkAboutHomestead_Day INDIANA SALES DISCLOSURE FORM SIM ID: Page 2
,D..PREPARER. _LP- C-7 1,4:73 tr5F-E. C.7 -;7-- ----Tr:7117R; t
Roman Ricker 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
SELLERISIIGRANT:OR(SrLt-,:ilElit: .1Zr: crTs 2uTtil tr7.- ;.'":1
The Willard,! Kolb and Carolyn J Kolb Revocable I iving Trust
Seller I Name as appears on conveyance document Seller 2-Name as appears on conveyance document
118 Olive Drive
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
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 by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
_Ld_SatjaLge/1/-
Signature of Seller Signature of Seller
w:ttar 3. I. I .
Printed Name of Seller Sian Date(At AVDDIYITY) Printed Name of Seller Sian Date(1414/LOMYT)
BIJYER(S)/GRANWEE(S):EAPPLICKTION:EORPROPERTYLfAXiDEDUCTIONS'aIDENTIFYIAIXITEMSTHAT'APPEW.
Wayne E. Day
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document it
615 N. Duane St.
Address(Number and Street) Address(Number and Street) C.
Sullivan, IN 47882
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AAQN CO/
YES NO CONDITION YES NO CONDITION
' Au
IZ 0 1.Will this property be the buyer's primary 7j 0 3.Homestead 147-04,
residence? Provide complete address of primary 0 jj 4.Solar Energy Heating/Cooling System
residence,including county:
ig S.Wind Power Device
118 Olive Drive
Address(Number and Street) 111 17) 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson 0 g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El 8.Is this property a residential rental property?
0 0 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 f?) 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 avoilabjén all counties.)
Address(Number and Street) d —/; ØJ— /
Wayne E.Day
City,State ZIP Code County
Primary property owner contact name E-mail