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HomeMy WebLinkAboutHomestead_Bailey INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 aftPREPARER:f ---y-7-7 1 -` _ _ _ J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart Street Partenheimer,Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812--386-0050 irkinkle(alhok-law.com City,State.and ZIP Cade Telephone Number E-mail SELCER(SAGRANTOR(S) `: . .. .. - William R Knann Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7872 S 38 E Address(Number and Street) Address(Number and Street) Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn lete as re red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ��� ' Signature of Seller )/!� Signature of Seller William R Knapp 10/50017 _ Printed Name of Seller Sian Date(MM/OB/YYYY) Printed Name ofSeller Sian Date(MM/DDATh1 LE:BUYER(S)/,GRANTEE[S): APP,ISICAT10NtPORiP.ROPERTYTAXSDEDUCTIONSDI)ENTIFY?AIiL'dTEMSrTHATAP.PLY:, - _. • Heather J.Bailey Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 605 E.Walnut St. Address(Number and Street) Address(Number and Street) Fort Branch.IN 47648 • 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: ❑ 605E Walnut St 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch. IN 47648 Gibson ❑ 0 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 available in all counties.) Address(Number and Street) 1 /�(� ^{ f�� r�/ County - IGI -304-OW4 kr()aW Ciry State ZlPCode Primary P roP e owner contact name Email Y