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HomeMy WebLinkAboutHomestead_Price (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER .. . . . I Roman Ricker 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 rrickerno hpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) I Estate of Anieta Almon Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9125 W SR 165 Address(Number and Street) Address(Number and Street) Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and '3 to as red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". X lZ /-77--/r1' Signature of Seller Signature of Seller Ry Phillip Almon I Insnperviced Personal Ren 1/17/2018 Printed Name of Seller Sian Date(M1M/DD/YYn1 Printed Name ofSeller Sian Date(HM/DD/M11 F. BUYERIS)/GRANTEE(S)!APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM HAT APPLY.. ." . I p Ir qqq Albert Vincent Price Ashley Jo Price uy ors on conveyance document Buyer 2-Nome as appears on conveyance me .J 7100 W. 950 S. 7100 950 S. q p Address(Number(Number and Street) Address(Number and Street) JAN 2 2018 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NQ—CO44g44+.4Q L. 0 ❑ 1.Will this property be the buyer's primary Jf ❑ 3.Homesteaj) residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 9125 W SR 165 ❑ IN 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device , Owensville, IN 47665 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 ❑ 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. Not available in all counties.) �[�R -(/p Address(Number and Street) den -i 7 '03 - ,3 0C —CD© 0 ). t Albert Vincent Price 8 Ashley Jo Price City,State ZIP Code County Primary property owner contact name E-mail