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Homestead_Gilmore
INDIANA'SALES DISCLOSURE FORM SDF ID: Page 2 _DS P,REP,AREiv--; -s- Ya - -=- X 57:177;:: ,w 1 .�. F.L : - Roman Ricker Attorney Preparer of the Sales 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 rricker(tilhpk-law.com Litt',State,and ZIP Code Telephone Number E-mail E`SEL'I ER(S)(GRANTOR(S)'° t ^ l :' II° `-. z :`;,z A ---772 p L -e-, Sharon I Stocker Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1915 F SR 64 Address(Number and Street) Address(Number and Street) Princeton IN 47670 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". v2 e /. 0//2 Signature of Seller Signature of Seller Sharon 1 Stocker 1/30/2017 _ Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name ofSeller Sian Date(1M/DD/YYY1) F:BUYER(S)/GRANTEE(S)EAPPCI CATI ON-FOR-PROPERTY TAX.DEDUCTI ONS IDENTIFY:ALIATEMS.THAVAPPLY7. �._ Richard D.Gilmore Melissa S.Gilmore Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document _117 S. Broadview Circle Dr. 117 S. Broadview Circle Dr. Address(Number and Street) Address(Number and Street) Princeton, IN 47670 _ Princeton. IN 47670 THE THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEdTIFY ALL OF THOSE TH PA P Jtplt'1. g 1 YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead JAN 3 1 2017 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1915 E.SR 64 ❑ S.Wind Power Device /l Address(Number and Street) ❑ 6.Hydroelectric Power LI Princeton. IN 47670 Gibson ❑ Q 7.Geothermal Ene gy Heating/Cooling OU lDevice City,State ZIP Code County 0 ❑ 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 ❑ 0 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. 117 S. Broadview Circle Dr. //�� Not available in all counties.) Address(Number and Street) •J/ — I 16— IO l/ Or q V,.O 9(0-Da 2 Princeton, IN 47670 Gibson Richard L.Gilmorre&MIeiiisssa S.Gilmore City,State ZIP Code County Primary property owner contact name E-mail