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Homestead_Whitten (7)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 1D;:EREP..ARE li�_ �1 w,;---� , .�-.�,----.. ;�.. i-- --- --,-— Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton. IN 47670 812-386-0050 irkinkle @hpk-law.com City,State,and ZIP Code Telephone Number E-mail iSEL ERTS) GRANiTOR(S)1 . F: ., :.-- -- - - -, Peggy J.Whitten Seller 1-Name as appears on conveyance document Seller 2.Name as appears on conveyance document 2684 N Dublin Street 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 mplete as requiredd bylaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". k..l- t C S(gn m o Seller- Signature of Seller Peggy J.Whitten 05/10/2017 $ �1 Printed Name of Seller Sian Date tMM/DD/YYY17 Printed Name of Seller iE (lBe IG I� Daniel L.Whitten ',s Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docuMAY 1 U 1011 907sE:State Street = Address(Number and Street) Address(Number and Street) il Princeton, Indiana 47670 fit _ 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 0 ❑ 1.Will this property be the buyer's primary Q ❑ 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) ❑ 12 6. Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 12 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) q� Gibson p OXo -4?- a d-/0.1- 00ot 62c2- 'OW City,State ZIP Code County Primary property owner contact name E-mail