HomeMy WebLinkAboutHomestead_Strickland (10) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I Robert Kink le Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton. IN 47670 812-386-0050 irkinkle@hok-law.com
City,State,and ZIP Code Telephone Number E-mail
1-.EI,sEnheiktsifaAThroilrst.±.1:1'T--1:....1 T. 1-7 - ::---. r 1.72-- 1__Tr-;-/: 17_.--.---17-.:-7--.7r.--1-:---.7-• IV,7,..--1 . L.; 11_
Connie J. Cousert
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6838 E 550 S
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649
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".
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LcLcQ CJ
Signature of Seller Signature of Seller
Connie J. Cousert / /2016
Printed Name°Seller Sian Date thlhl/DD/YYTY) Printed Name of Seller Sian Datell4M/DO/YYM
E.BUYER(S) GRANTEE(S)177,APPLICATION:FOITHROP,ERTY:TAX:DEDUCTIONSIDENTIEY,ALE ITEMS.THAVAPRLY'_' ,_li.,.11_ _ -. s
Alan Strickland Jamie Strickland i
,
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document / .
719 S. Race Street 719 S. Race Street ..
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 APPLY4,
‘"ItiNg
YES NO CONDITION YES NO CONDITION
Ai&
12 0 1.Will this property be the buyer's primary 1:21 0 3.Homestead
residence? Provide complete address of primary D C2 4.Solar Energy Heating/Cooling System 04
residence,including county:
D 12 5.Wind Power Device
Address(Number and Street) 0 12 6.Hydroelectric Power Device
0
Q 7.Geothermal Energy Heating/Cooling Device
City.",Pate ZIP Code ,J 1c NA 16 0/1/4.1 L.34 County
0 12 8. Is this property a residential rental property?
Z.- C 2.Does the buyer have a homestlead in Indiana to be
vacated for this residence? If yes,provide Li F.--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.
50 1 .s iiir4-e-r ST Not available in all counties.)
Address(Number and&.-eet) .
?RI Neere) tu /NJ "1-7 6 7 0 Gibson Z 4,--/c7-67 #5,e 3 00 3 07 4, 42 0 R 8
City,State ZIP Code County
Primary property owner contact name E-mail