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HomeMy WebLinkAboutHomestead_Walker INDIANA SALES DISCLOSURE FORD? KW ID: Page 2 tDI:P,REP,ARER( - -- - 77----: J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkle(@hpk-law.com City,State,and ZIP Code Telephone Number E-mail (Er:sE L'ER'(S)/.GRAN:TOR(S)) . - -- — Hugh M. Fulton Seller I•Name as appears on conveyance document Seller 2-Nome as appears on conveyance document 6062 N SR 65 Address(Number and Street) Address(Number and Street) Patoka, Indiana 47666 Under pena ies of p•rjury,I I • eby tify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and col p -teeaas dv� • • •repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". A-elr 'if/ ir ALAI Si;na re of Se rcr Signature of Seller Hugh M. Full. 04/b /2017 Printed Name ofSeller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYri� [F BINER(S)%GRANTEE(Sj AIM IGATION{F.ORtPROP,EM1YLTAXIDEDUGTIONS�IDENTIFaYAE LtIMEMSiTHATtAP,-RIM . _ _ Sybil A.Walker Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 123 W. Kentucky Street • Address(Number and Street) Address(Number and Street) Princeton, Indiana 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 ���� p ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead A' residence? Provide complete address of primary residence, including county: ❑ is 4.Solar Energy Heal^ /Coojepg SII y�tem ❑ p 5.Wind Power DeviderR LUU Address(Number and Street) ❑ 51 6.Hydroelectric Power Device ❑ 0 7.Geothermal Ener 'ng Device City State ZIP de County R ❑ p .. Is this pro�B¢o# kHl4itYekt-ill ieYty? ❑ 2.Does the buyer have a homestead in Indiana to be ,U-1,/ 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 coF/u-nntIees.)2�(j//�, /1O Address(Number and Street) c% -1 ;_1 0 _ /oa-©vv) `"- 9007 Gibson (( SS Y.J ((t 111 lr City,State ZIP Code County Primary property owner contact name E.mall