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HomeMy WebLinkAboutHomestead_Dunn (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 :D},P,REPARERt" �'.= •�"" ,Y� �z �,..� "%3 *v'. ?< — i a -'c-- ""'r,h =77 Roman Ricker Attorney Preparer of the Sala Disclosure Form Tide 219 N. Hart St.. P.O. Box 13 Partenheimer. Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rrickeahpk-law.com City,State,and ZIP Code Telephone Number E-mail ?E.rSMER S)/GRi1NTAR(S), , =t' mot •�..� 'r 'T€; . „ Charles R Cnchren Daohne June Cochren Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document P O Box 189 231 N Gibson Street P O Box 189 231 N Gibson Street 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 corpp e as uirety laty„and i prepared in accordance with/e16-1.1-5.5,"Re Property$a(les 'sclosure Act". Signature of Seller S ignature o eller l Charles R Cnchren 11/10/2016 Daphne June Cochren 1/30/2016 Printed Name of Seller Sian Date(MM/DD/YYYn Printed Name ofseller 11 t (MM/DD/ 'Yfl +FaBUYER(S)%GRANTEE(S)I, A ,PLICATION,EORTP.ROP,ERT�YtTAXitED JETIONS IDENTIE AE j AT i Ir I Brian M. Dunn Buyer 1-Name as appears on conveyance document Buyer 2 Name as appears on can sryancc yEymegl 2016 807 S. Stout Street LICI. 1 L 0 Address(Number and Sweet) Address(Number and Street) TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APF,tt 1 2016 YES NO CONDITION UU�� 1 L 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heatin /n residence,including county: rd +t �N COUNTY AUDITOR 231 N Gibson Street ❑ 5.wind Power Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Oakland City. IN 47660 Gibson ❑ z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ID 12 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 ❑ 1 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.) /'yt� /may/, rJy� Address(Number and Street) Brian M.Dunn cc(C) IO' /O1-3cb•/ -tO2 City,State ZIP Code County Primary property owner contact name E-mail