Loading...
HomeMy WebLinkAboutHomestead_Heldt (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 DnPREP.ARER� _�h .. _ _ Roman Ricker Attorney Preparer of the Sales Disclosure Farm Tide P.O. Box 13,219 N. Hart St. Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(Whpk-law.com City,State,and ZIP Code Telephone Number E-mail • E.,SEL'LER(Sp/.GRANTOR(S)tii :C r r - — — —I Jacqualene E White Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1805 S Main 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 4d complete as required b ayvrand is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". • e, Aa0btic atur,Seller Signature of Seller ,larnnalene F White 6/5/2017 Printed Name of Seller Sian Date(MM/DD/YYf) Printed Name of Seller Sian Date(MM/DDryYYYI 13UYEft /GRANTEE(S)LAPFL'IGATIONORPROP,ER'TiY/TAX DEDUCTIONS=1DENTIEYiALL,ITEMS'THATAPPL - ` j Jamond R. Heldt )� Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document �y.. 4185 Address s(N. umbra Address(NUmberand Street) Address(Number and Street) „d A Francisco, IN 47649 ✓ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATArvyYCO YES NO CONDITION I YES NO CONDITION UHT{ ❑ 1.Will this property be the buyer's primary 171 ❑ 3. Homestead •Cio 11 OF? residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device 1805 S Main Street Address(Number and Street) ❑ (2) 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 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 ❑ (7] 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.) J Address(Number and Street) 0)t- _/?�Q 7 -o o 3.3 Q - O[7( O Jamond R.Heldt City.State ZIP Code County Primary property owner contact name E-mail