Homestead_Dove INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER ' i
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle& Ricker
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
IE.SELLER(S)/GRANTOR(S)
Lee H Johnson Aoril L Johnson
Seller I•Name as appears on conveyance document Seller 2'Name as appears on conveyance document
2726 S SR 57 9796 S SR 57
Address(Number and Street) Address(Number and Street)
Oakland
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn /
•t: .s required by law,and is prepared in accordance wi IC 6-],1;$ 5,"Real Property Sales Disclosure Act".
Signature afS f' Si nature ofSel r
I AP H Johnson 7/20/2017 April L Johnson ._ ,-. -5;4 I
PrintedNameofSeller Sign Dote(MM/DD/YYYY) Printed Name of Seller '• • Dj f DD/YYYY)
F.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM':/ H:i '�. I
immie Dove Patricia L. Dove ����77
-rmyer I ' e as appears on conveyance document Buyer 2-Name as appears on conveyance documealUL 2 4 2017
419 N. 300 W. 41• N. IS W.
Address(Number and Street) Address(Number and Street) • 4
Washington, IN 47501 Washington, IN 47501 '' 0101111,
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
0 ❑ 1.Will this property be the buyer's primary C `-' ID 3. Homestead
residence? Provide complete address of primary u Lid 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q
S.Wind Power Device
2776 S SR 57
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Oakland City, IN 47660 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 111 ZI 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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.
419 N 300 W Not available in all counties.)
Address(Number and Street) •�
Washington, IN 47501 Daviess Jimmie and Patricia L.Dove ..k. d3- iz_S - 10o - 0 00.4(ie-
City,State ZIP Code County 6
Primary property owner contact name E-mail'-'