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HomeMy WebLinkAboutHomestead_Saliju INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D' PREPARER . ,,I. ,„ '..t . '• s:-4::;7, :, "T-C:.;.-7._ . _.__ . ."., . €1C:J7. .. :b=, ,_ .` y -1 J. Robert Kinkle Attorney Prepare,ofthe Sales Disclosure Form Title 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company • Princeton, IN 47670 812-386-0050 jrkinkleehok-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER[S)%GRANTOR(S) = _ - '_Pl.:: t .). :,_ 1rb at t2 , , r ._ 3 ter,.7Y • Anita J Waldroup Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document P 0 Box 1077 Address(Number and Street) Address(Number and Street) Under penalties of perjury hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an. is mplete as require. .y I.. , .nd is prepared in acco dance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". it Signature of Seller Signature of Seller :.' - . . . 1/8/2018 Printed Name of Seller ' Sian Date(MM/DD/YYYY) Printed Name ofSeller Sinn Date(MM/DD/YYYY) 'FiBUYER(S)/GRANTEE(S)L'APPIi1CATIONFOR!P,ROPERTY-TAX;DEDUCTIONS:'IDENTIFY:ALLITEMSTHATr 'PLY=`- ' '1' '.T;?` 1 Alit Saliju - I•ren Sall • Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 306 S. Eastview Street 306 S. Eastview Street Address(Number and Street) Address(Number and Street) 14N � �H '� THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATAPPLY.J4/ ' `" YES NO CONDITION YES NO CONDITION -.1/10/ . 0 El 1.Will this property be the buyer's primary Q ❑ 3. Homestead R residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 306 S Eastjiew Street ❑ ig 5.Wind Power Device Address(Number and Street) ❑ [ 6. Hydroelectric Power Device Fort Branch, IN 47648 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 ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ I71 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) q . OZ-19-79 u Saliju ,� ✓3 4a3 Alit Saliju and Florent Saliju City,State ZIP Code County Primary property owner contact name E-mail