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Homestead_Conway
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 DITREPARERi: ,a w. Roman Ricker Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13.219 N. Hart Street Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(@hpk-law.com City,State,and ZIP Code Telephone Number E-mail E SEELIERIS)%GRANT,OR(S)p 7- a ,ren,- . I t-, s _a. •vwc �- I isa M Walton Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2690 W Julie Drive 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 law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". L( 4� - Al Signature of Seller Signature of Seller I isa M Walton 11/14/16 Printed Name of Seller Sign Date(MM/DD/YYYYJ Printed Name of Seller Sign Date(MM/OD/YYYY) .F:BU;YER(Sf/,GRANTEE(S)°,;APPL'-ICATI ONIEOR+PROPERTiY.-IAXtiDEDUGTIoN51 DENTIFYALL'IT6MSktHAT,AP,PL t _ 'F s Brian S. Conway Stephanie S. Conway Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 107 Third Avenue 107 Third Avenue 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. NO 7 YES NO CONDITION YES NO CONDITION V l Q ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead ,Z�16 residence? Provide complete address of primary ID © 4.Solar Energy Heating/Gen "- . 1- residence,including county: p 't/f/tri 7690 W Julie Drive ❑ S.Wind Power Device U , �e Address(Number and Street) - ❑ 6. Hydroelectric Power Device ACm JTOR Princeton. IN 47670 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County TA ❑ 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: below.Please see instructions for more information. 107 Third Avenue Not available in all counties.) Address(Number and Street) 26- u-/5-to/ ctJ 3 4, 4- e? 0-27 Princeton, IN 47670 Gibson Brian S.&Stephanie S.Conway City,State ZIP Code County Primary property owner contact name E-mail