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HomeMy WebLinkAboutHomestead_ODell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - - . . .J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart St. _ Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(@hpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) .- • ' • - . j - Stary M Worthington Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 513 S 3rd St 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". Signature of Seller 1 / Signature of Seller StacyM Worthington 141 I-7 / QtIG Printed Name o(Seller Sign Date( /DD/YYn1 Printed Name of Seller Sign Date(MM/00/YYYYj FF.BUYER(S)/GRANTEE(S)-APPLICATION-FOR PROPERTY-TAX DEDUCTIONS-,IDENTIFYALLpNJTJ TPY . - .. (Z-vi K. I'D-II �� yyll��ff 1R�f • ll as appears on conveyance document Buyer 2-Name as appears on conveyance document 522E Broadway OCT i S 2016 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. YES NO CONDITION CO. Q ❑ 1.Will this property be the buyer's primary (-Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 513 S 3rd St ❑ 19 S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 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: • •••. ' •• • •' • • -:• • t ore information. 522 E Broadway Not available in all counties.) Princeton IN R6 - // -/A ' 70O - 000. 865 ),7 Princeton IN 47670 Gibson City,State ZIP Code County Primary,property owner co tattoo a "-mail