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Homestead_Willis (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _D..RREPARER` " .. . .� °'r > -T' s' - a - t . ? c a.. Roman Ricker Attorney Preparer of the Sales Disclosure Form Title P.O.Box 13,219 N.Hart St. Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(ahok-law.com City,State and ZIP Code Telephone Numher E-mail eE SEfl ER(S)7GRANY.OR(S)r.t, sc.. .._ :r_ a.z - 4 , Freddie I Roarh Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2595 W 50 S 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". a. &-a-e & Signature of Seller /( Signature of Seller Freddie L Roach /2016 Printed Name of Seller Sian Date(M.N/aa/rvtt) Printed Name of Seller Sian Date 001/0 OMIT) }F BUYER(SAGRAN;TEE(S)YAP.ROCATI0Nim PROP:ERTlyt AX+DEDUGTIONS IDENTIFAX ;ITEMStTH'ATEAP,P,6Y(s - Donald R.Willis, Jr. Lisa J.Willis Buyer I•Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 7340 N. State Rd. 159 7340 N.State Rd. 159 Address(Number and Street) Address(Number and Street) Bicknell, IN 47512 Bicknell, IN THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead gg �N�W/1CF-A'p residence? Provide complete address of primary ❑ © 4.Solar Energy I-Ieaating/Cooling System OR residence,including county: ❑ IN S.Wind Power Device 2595 W.50 S Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County IN Z LI 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 ❑ Z 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. 7340 N. State Rd. 159 Not available in all counties.) Address(Number and Street) cats '«—albs)_ee( .5 -o al Bicknell, IN 47512 Knox - nox Donald S.WllisJr.S IL spa JbV llis 0 — oats- City,State ZIPCode County Primary property owner contact name E-mail