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HomeMy WebLinkAboutHomestead_Baize INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. PREPARER -. , , • , J. Robert Kinkle Attorney Preparer of the Sales Disclosure Farm Tide 219 N. Hart Street Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkleehok-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) -. , - - - Christine L. Baize Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4315 W 200 S 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 and tm(�tD•tete 5 Sequi d ,ll�/a and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Si(gn"a'turree%RfSellleerr / Signature of Seller Christine L. Baize 11/30/2017 i • ice;, Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller ` j j ;Si' I1�11/DO/YYYY) F.BUYERS)/GRANTEE(S)--APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITE H L' John John BaizTh Jacklyn Kennedy DEC 1 2017 Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1542 S.Old SR 65 1542 S. Old SR 65 Address(Number and Street) Address(Number and Street) I' kq�ir. Princeton, IN THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION Y1s---No—CONDFTloN p ❑ 1.Will this property be the buyer's primary ` 12 ❑ 3. Homestead residence? Provide complete address of primary U U 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device City,State ZIP Code county ❑ 12 7.Geothermal Energy Heating/Cooling Device ❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8.1s 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) A6 - �7 J City,State ZIP Code Gibson County //- J D - �DO - 000, d �7 -opt Primary property owner contact name E-mail