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HomeMy WebLinkAboutHomestead_Elpers (17) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 - -- P,REP.ARER<-------=-'— nr--,- _, -- z ------ ----- - --- - - - --- --� Roman Ricker Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13,219 N. Hart Street Partenheimer,Kinkle & Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(dhpk-law.com City,State,and ZIP Code Telephone Number Email `,ESELLER(S)`/,GRANTOR(S)_____ - Donna M Flpers. n/k/a Donna M Golday Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 430 W Glendale 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 a • complete as required by law,and is •repared i accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". _ 0/ i �� 1i_Ai 4 . . /11is /Min /�.�LiI ii Signature of Seller / Signature of Seller Donna M Flnerc n/k/a flnnna M Golday Printed Name of Seller Sian Date(MM/DD/YYYYI � Printed Name of Seller Sian Date(MM/DD/YYn) _Fr BUYER(S)l/.GRANTEE(S)_AP @L'ICATIONrF,OR:PRO _ERTtY,_TAXDEDUCTIONS=IDENTIFY-ALAITIEM T 777-:: ,L _ a Andrew J.Elpers Ellz . t A. Elpers Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance•ocument 2115 E.Warrenton Rd. 2115 E. Warrenton Rd. MAY 0 3 2017 Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION (Z) ❑ 1.Will this property be the buyer's primary 171 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device 309 N Main Street Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 2. Does the buyer have a homestead in Indiana to be ❑ 5 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Q 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. �/,rr Not available in all counties.) Address(Number and Street) (.� `e — Iq-31 -361 Andrew J.&Elizabeth A.Elpers pos. 1(96-009 City,State ZIP Code County Primary property owner contact name E-mail