HomeMy WebLinkAboutHomestead_Parker (3) 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&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIPCode Telephone Number E-mail
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Country Ayer. Inc
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2282 E Warrenton Rd
Address(Number and Street) Address(Number and Street)
Under pe alties of p• ju .. Z 8 1 certi hat this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co ete as r••ulor• • 4 ,and i epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
i
Signature of Seller
7/1"1
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Signature of Seller
David F Gniehel
9 :27;,,„
Printed Name of Seller Si i nfiate(14 /DEVYYYY) Printed Name of Seller Sign Dateibm/ODOTY11 .....
,EiBITYEa(S1/CMNTEEISy AP,PLICATION:EOWPROP, TY:TAXIJEDITETION81DENTIF.YALE:-ITEMK-31TIAT: : . 1T- ci 1.7"`Tr-,
Ashley J. Parker
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
704 E. Haub St. t5'44)5 met)ra
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.r •
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YES NO CONDITION I YES NO CONDITION "o,,>
e
121 0 1.Will this property be the buyer's primary (Z) III 3.Homestead 09
residence? Provide complete address of primary 0 Rd 4.Solar Energy Heating/Cooling System
residence,including county:
ID 151 5.Wind Power Device
517 S 9th Ave
Address(Number and Street) 0 IZI 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson 0 Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 N 8. Is this property a residential rental property?
LI 17 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 [71 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 ond Street) 0 76 _ A 5-6 6 _ado _ cepa 16
n RD 66 9
Ashley J.Parker
City,State ZIP Code County
Primary property owner contact name E-mail