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Homestead_Meyer (15)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 t1:.PREPARER?— - iv— —.T_y"7177:7:77.47.1"...‘"7:,-7,7 7:77.L —7- T s . C r7 . T ' "_ J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street, P.O.Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 Irkinkle(dhpk-law.com City,State,and ZIP Code Telephone Number E-mail 'EBECI.'ER(S)/GRANTOR(S)�s-- 'fl - r4-; - `" ° i- ," _ :17:=471 ' ..Ti . 17j, Victoria A Terry Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 319 F Water Street 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". b k Jo c• IQ_ n`� Signature of Seller Signature of Seller Victoria A Terry 2/13/2017 _ Printed Name o(Seller Sign Date DIM/UD/YYYY) Printed Name of Seller Sian Date(MM/DO/YYYY1 tF::BU YER(S)/GRANTEE(S)t_,+AP,PLICATI NtEOR<PROP,ER•T:YLTAX!DEDUGTIONSuIDENTIFY:ALLITEMSITHATAPPLY ; - �. Christine A. Meyer _ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2013 Outer Lake Road Address(Number and Street) Address(Number and Street) Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE 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 Q ❑ 3.Homestead GIBBON COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 319E Water Street ❑ 19 S.Wind Power Device Address(Number and Street) ❑ 171 6.Hydroelectric Power Device Princeton. IN 47670 Gibson ❑ (7 7.Geothermal Energy Heating/Cooling Device 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 ❑ 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) Christine A.Meyer ;10-1 a—D'- 4 0 -00(.097-va� City,State ZIP Code County Primary property owner contact name Email