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HomeMy WebLinkAboutHomestead_Dellinger INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 IDXP.REFrAF ERS':_ - ..e . t. 1-.,'1-:2`.`c. •; • e- -- °-.1 Roman Ricker Attorney Prepare(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 rricker&hpk-law.com City,Statg and ZIP Code Telephone Number E-mail iE SELLER(S)`%GRIANTOR(S)PC. . . .• - . ....T—C., z %C.— .? , ;I:e':'.17.'FT -_ ---I Lloyd E Jones Karen A Jones Seller I-Nome as appears on conveyance document Seller 2-Name as appears an conveyance document 722 Highland Avenue 722 Highland Avenue Address(Number and Street) Address(Number and Street) I l Under penalties of perjury, I hereby certify that this Sales Disclosure:to the best of my knowledge and belief,is true,correct i and complete a ass�required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". j t ✓- oar �GnofSe V Signet euf Edder Signature of Seller I Iloyd F Jones 11/22/2017 Karen A Jones 11/22/2017 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY) I _ • F:ABUX ER(SAGRANITEE(S)i"APPETICATIONIE,ORIRR OP.ERT(y/TAMOEDUGHONS dDENIREYAMICIFIEMis THATAPPCY ?';"—' John Dalton Dellinger Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2719 W.Address S. A Address(Numbb er and Street) Address(Number and Street) Princeton, IN 47670 .. -. �. ••-THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. G < /? YES NO CONDITION I YES NO CONDITION 0 ❑ I.Will this property be the buyer's primary II ❑ 3. Homestead G/06.0/v OOV residence? Provide complete address of primary ❑ 4.Solar Energy © Heating/Cooling Syy v9 residence,including county: 'TOR 218 W Vine Street ❑ 19 S.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Oakland City,IN 47660 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device City,State ZIP Code County El � 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 ❑ z 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. �7 Not available in/all counties.) Address(Number and Street) JO — / 1"./OR /Ot69O/ o Q_co? - - John Dalton Dellinger ! !!! --- City,State ZIP Code County Primary property owner contact name E-mail