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HomeMy WebLinkAboutHomestead_Wirth (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 'DFP.REPARER'"-s ..'�vS, i:Y ^°-.�t>r•„-: -sa.�. r. < - - - -..-?t..rr• J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart Street Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(@hpk-law.com Ciry,State,and ZIPCode Telephone Number E-mail E:SEL'L'ER(S)'/.GRANTOR(S)a?..=n.> -2:2+:2 :,._22:, ":itt _l�'7`i,•^ w:'n 3 . �l- --;T' _ i ��:'�:;�`f ,rte' ,Inhn L Shanks Kendall A Shanks Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 405 E Second Street 405 E Second Street Address(Number and Street) Address(Number and Street) Hazleton IN 47640 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete a equir by law,and is prepared in accordance with IC 6-n1.1-5(("".1t5,n"Real Property Sales Disclosure Act". Si tore( ' "'o`." `-61 ei/14,PV3 of Signature of Seller John I Shanks 3/10/17 KendallA Shanks , j ` L 0/17 Printed Nameo Seller Sian Date MM DDsu Printed Name a Seller ;elan :$(`p DDAug `F::BUYER(SV GRANTEE(S)6APPEIGATIONjEOR+PROPEIVIWJAX-DEDUCTIONS 15ENTIEVAI 'dTE• tT 7717. William W.Wirth h��Appp q -2a17 Buyer I Name as appears on conveyance document Buyer2-Name as appears on conveyance doculW'R" `, O 313 N Embree Street 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. YES NO CONDITION YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN S.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device City,State ZIP Code County Geothermal Energy Heating/Cooling Device ❑ ❑ 2.Does the buyer have a homestead in Indiana to be $• 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.) Xn -{(�J.'��/ 8' Address(Number and Street) a(,_ I i-,a-P09-ooa.D81 D v Gibson OD:State ZIPCode County Primary property owner contact name E-mail