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HomeMy WebLinkAboutHomestead_Keller (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER J.Robert Kinkle Attorney Preparerof the Soles Disclosure Farm Title 219 N Hart St. Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton,IN 47670 812-386-0050 irkinkle(a)hpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - . , Sonya In Ann Holscher - Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document �'33 k- h'-c 4..,,t,. Rtt Ad (Num r and Street) Address(Number and Street) A. Kv( 4' 111 Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c//Iy``; ete as • ed by • ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /// ir Signature of Seller Y., Ili .2- PrintedNameofSeller _ Si a Date(M 1/00/YYn Printed Name of Seller an e(MM/DD/YYYY) F.BUYER(S)/GRANTEE(S)'-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL /1' - . .� John G.Keller -saalgamee> ars on conveyance document Buyer 2-Name as appears on conveyoncA 4lneJ 5 2017 7898 N Cunningham Rd 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 p 0 Li 1.Will this p rnvn roperty be the buyer's primary ('71 ❑ 3. Homestead residence? Provide complete address of primary ' EJJ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑ S.Wind Power Device 7898 N Cunningham Rd Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Hazleton, IN 47640 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 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) a4 - 02, - Ss 030- 000 . 9/3 . 0/62 City.State ZIP Code County Primary property owner contact name E-mail a