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HomeMy WebLinkAboutHomestead_Gibbs INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 jO.`PREPARER- ' T 7, '_ r - -;-_---c. I J.Robert Kinkle Attorney Preparer of the Soles Disclosure Form Tide 219 N Hart Street Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(@hok-law.com City,State,and ZIP Code Telephone Number E-mail IE.SEGL•ER(S)XGRANTOR(S)( t '-- t;— ; - ' -,:,•, • - . J '-- e, ' i --• -Y.-7 i Dennis Gibbs Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7130 Forst Green 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 and c plete as req 'rred bylaw,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Dennis Gibbs Printed Name ofSeller Sian Date(MM/DD Printed Name of Seller /DD/VYY) TF.,BU-YERSGRANTEE(8)=APPL(ATN FORIPROPERTtY�TAXID-Q CTIONS_ DENTIFre ALEITEM r PLY. M Micah Ray Gibbs Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documjkjN 1 6 20 j/ 729 S. Hall St. 6 L Address(Number and Street) Address(Number and Street) n, 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 Q ❑ 1.Will this property be the buyer's primary 7j ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: 711 S Stout St ❑ eg 5.Wind Power Device Address(Numberand Street) ❑ [71 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 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 at(gi,(Q in all counties.) Address(Number and Street) tt����JJ City,State ZIP Code County C26 —1 d -o17- 000. 4 10-0A Primary property owner contact name E-mail