HomeMy WebLinkAboutHomestead_Smith (75) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Hall, Partenheimer& Kinkle
Address(Number and Street) Company
Princeton. IN 47670 812-386-0050 irkinkleehnk-law.com
City,State,and ZIP Code Telephone Number E-mail
flaSEIIER(S)%GMANtre ` -?7'j. -. Z.: . . :`t.aa St,,.., ' .e217 y :17,5 u e.- c— S—CIT
Robert D.Troy
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1565 SR 381
Address(Number and Street) Address(Number and Street)
Stahlstown, PA 15687
Under enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of S-. Signature of Seller
Robert D. Troy 07/4 /2016
Printed Name of Seller Sian Date fMM/DD/YYYY) Printed Name o(Seller Sign Date(MM/DD/YYYY)
iESBUYER(S)./,GRANTEE(SDIAPP.LIGATION}F,0WP.RP,ERVICEAX•DEDUCTIONS l5ENTIFYfAAlli:I TEMS'_THATAP,PLY ;77-'7511
Terri Smith ��{{����{{''''''''��y��y '��.
BuyerI-Name as appears on conveyance document Buyer 2-Name as appears nv one docum f
5628 S 125 W IAAII .Iff
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFI(2e '�S�EOH ,IqP?LA.UDITOR
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead
residence? Provide complete address of primary
❑ 12 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 12 6.Hydroelectric Power Device
❑ 12 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Li M 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 ❑ z 9.Wo uld-yottlike 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.
QNot available in all counties.) p `/
Address(Number and Street) a(0 — I SS_I a— 00 -000 . 4] �+ _ COS"Gibson IIYY
City.State ZIP Code County
Primary property owner contact name E-mail