HomeMy WebLinkAboutHomestead_Cooper (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:.PREPARER' 'acs s- 6 �T
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St., PO 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
a:SE LIE R(S)'/,GRANTOR(S)= ��-: . _ r T` x' -_�� + - -
Joann Deffendall
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
830 Wect 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 co lete as re uire y la v, . i prep d in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
tore of Seller f!✓/ Signature of Seller
•
Joann Deffendall 08/12/2016
Printed Name of Seller Sign Date(MM/DD/Yrrl) Printed Name of Seller Sign Date(MM/oo/YYYf
F••BUYER(S)'/,GRANTEE(S)!_APPC!CAT ION_WRY'ORE RTY,TAX DEDUCT ION S='IDENTI f�tlEM LY. _ r'
Calvin L. Cooper p
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
_516 Walnut Street AUG 16 2016
Address(Number and Street) Address(Number and Street)
_Oakland City, IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION •a NO CONDITION
(71 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary Mj EI 4.Solar Energy Heating/Cooling System
residence,including county:
516 Walnut Street ❑ S.Wind Power Device
Address(Number and Street) ❑ 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ VI 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.
at ava able in all couunties.)
Address(Number and Street) r! / �/9-/071-000d7/-097
Calvin L.Cooper
City,State ZIP Code County
Primary property owner contact name E-mail