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HomeMy WebLinkAboutHomestead_Gentry (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ii:.PREP.ARER!--- . . t _ C- -_ ,: - — �- _ 11 J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N. Hart St.,P.O. Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(thpk-law.com City,State,and ZIP Code Telephone Number E-mail Ei;SEL-LER(S)%GRANT,OR(S)`L _.—= F ,T_--, - - — _:I Richard A Blackburn and Nancy J Whyms I iving Trust dtd 3-22-17 Richard A Blackburn and Nancy J Whyms I iving Trust dtd 3-22-17 Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2302 W Columbia Estates 2302 W Columbia Estates Address(Number and Street) Address(Number and Street) Under pe Hies of perjury,I hereby cer:. at this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co 1f'ete a�•• d jir"�and is s r• :.red in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". ignature ofSeller Signature ofSellenl Richard A.Blackburn as Trustee 8/8/2017 Nancy J Whyms. as Trustee 8/8/7017 Printed Name of Seller Sign Date(M.M/DO/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY) ;E.BUYER(S)",GRANIT,,EE(SWAPPLIGATIONtFOR PROPERTkY,TAX{DEDU6TIONS't2IDENTIFY{:AL'4ITE, .• =;'',1:11-7L-7.--- ' - ''--j Michael T. Gentry Patrici- A. -nt _ , - ,C,'— Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance•acumen - 108 S. Main Street 108 S. Main Street AUG 9 Zu I1 Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton. IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 7302 W Columbia Street ❑ fl 5.Wind Power Device Address(Number and Street) ❑ 0 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 ❑ 0 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. 108 S. Main Street Not available in all counties.) Address(Number and Street) aG— id-14- boa -Doi• &R'-D /7 Princeton, IN 47670 Gibson Michael T. entry and atricia A.Gentry City,State ZIP Code County Primary property owner contact name E-mail