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Homestead_Bradshaw
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Dd PREPARERiy s Kz a z T ; V Till 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 tE-,SEGLER(S)%GRANTC!R(S)':‘ _ __._ . � ;< ' i .-� _ _ ��-_.._ Dee Ann Ward Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 522 S West Street 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". t GA.)and Signature of Seller p Signature of Seller Dee Ann Ward D -/7-(lo _. Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/Y1M ;Fi,BUYER(S)`/GRANTEEM APPLICATIONWORPROPERTAOTAW DEDUCTIONS=.IDENTIFY•AIMITEMSTHATrAP,PhYr' V Kelli Ann Bradshaw Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on a.... ,,.•d.(ument 214 W.Trusler Street .—al Address(Number and Street) Address(Number and Street) - Oakland City, IN 47660 AUG 19 2016 THE SALES DISCLOSURE FORM MAY RE.USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY Ate: ' *t`<n a. :n-::�gv7!' DITOR YES NO CONDITION YES NO conom BSON COUNTY AUDITOR ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: 214 W Truster Street ❑ 5 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property? vacated for this residence? If yes,provide ❑ 171 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.) Address(Number and Street) - Kelli Ann Bradshaw aG - 1/4-19 -l0o-0(D. 9-00 7 City,State ZIP Code County Primary pro perry owner contact name E-mail