HomeMy WebLinkAboutHomestead_Vanlalhruaia • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title
P.O. Box 13,219 N. Hart St. Hall, Partenheimer 8. Kinkle
Address(Number and Sweet) Company
Princeton, IN 47670 812-386-0050 irkinkleehok-law.com
City,State,and ZIP Code Telephone Number E-mail
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Rrian S Conway Stephanie S Conway
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
107 N Third Avenue 107 N Third Avenue
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, thereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a • corn 2!lete as required by law,and is prepared in accordance wit IC 6-1.1-5.5,"veal Property Sales Disclosure Act".
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Sign tare of Seller 4 ignatu e of Seller
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Brian S Conway 11/14/2016 a s ..
Printed Name of Seller Sian Date(WM D/YYril Printed Name of Seller Sian Date 001/OD/MY)
•WERTaaL1-
2ARKI CATI ON:FORTROPERTYJAMpue-TI 0 NSED DENTIFY,ALL ITEMq,":4-jeCTArry7:7z_c_iiiii:
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Jahau Vanlalhruai Mary Zosanoliani
— ..,yeTheas appears on conveyance document Buyer 2,Name as appears on conveyance document
215 Prince Street 215 Prince Street
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Address(Number and Street) Address(Number and Sweet)
GIBSON COUNTY AUDITOR
Princeton, IN 47670 Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NO CONDITION
El ill 1.Will this property be the buyer's primary 17 9 3.Homestead
residence? Provide complete address of primary • ti .• • . ,• -a ting/Cool ing System
residence,including county:
El TA S.Wind Power Device
107 N.Third Avenue
Address(Number and Street) 9 Z 6. Hydroelectric Power Device
Princeton,IN 47670 Gibson 9 Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
9 P 8.Is this property a residential rental property?
9 0 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 17 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 and Street)
Jahau Vanlalhruaia O? I/—/2 - /03 -0 0 .L. e 7/ no;_g::.
City,State ZIP Code County
Primary property owner contact name E-mail