HomeMy WebLinkAboutHomestead_Hall (14) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2•D:PREPARER; '_ :_- v a 1_ 2-7_ _ _ J
Leon C.Stone President
Preparer of the Sales Disclosure Farm Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (812)386-1687
City,State,and ZIP Code Telephone Number E-mail
SEI 6ER(S)/,GRAb'TAR(S)! _ •" ' J j
Keith E Kinkade by Koietta D Kinkade Attorney-In-Fact
Seller I-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document
219 South Gibson 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
an. corn. e as • t uire i . law, . •d is / epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S tore of Seller Signature of Seller
Keith F.Kinkade by Kozetta D Kinkade
(//4
Printed Name of Seller Sian Date(MM/DP/YYY1) Printed Name of Seller Sian Date(MM/DD/YYY)
FIBU;
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFT T ` t,
YES NO CONDITION I YES NO CONDITION
0 111 1.Will this property be the buyer's primary j ❑ 3. Homestead AUG 9 ZUi/
residence? Provide complete address of primary ❑ IA 4.Solar Energy He ling/Coolin S s m
residence,including county: /
S.Wind Power D
730 South Race Street ❑
Address(Number and Street) ❑ 0 6. HydroeTrVIURINTW UDITOR
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
IN
❑ (7J 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 ❑ 171 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)
la-07- yD3-002, 3020-0a?
City,State ZIP Code County
Primary property owner contact name E-mail
•