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HomeMy WebLinkAboutHomestead_Toll INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D)■P.REP:ARERI ^ - - :c ` -. '1 _ _.,, t_•:7v,r ;;C.3.-.:" ,-/_°-27::.-: ., . i . .c• - J. Robert Kinkle Attorney Prepare(of the Sales Disclosure Form Title 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle E. Ricker Address(Number and Street) Company Princeton. IN 47670 812-386-0050 jrkinkle @hpk-law.com Ciry,State,and ZIP Code Telephone Number E-mail ?E-ISELLER(S)%GRANTQR(S)C .. . 77 .. --=2u' a. .C.-7--.7 7C---77577- • • ,•-,a. _. . Dana W Taylor Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7209 E Walnut Street Address(Number and Sweet) Address(Number and Street) Un t,ilr enalties of perjury, •ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and 1 •I lete as require, ry I:w,and is prepared i accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .0 I ✓ 5-- -tote Signature a Seller Signature of Seller Il ana • aylor 5/4/2018 Printed Name of Seller Sian Date(104/00M77) Printed Name of Seller 1 1 I s•to MM/OOYY1 ¢FAB.UYiERS /GRANTiEES A &LGAONIFRTFTE- tT}ATOMGTIONSS•IDENTIFeYiALL I Av E s --„, Patrick L. Toll BuyerI-Name as appears an conveyance document Buyer 2-Nameas appears ancanveyonici m.pt // 2018 2655 Wilwood Road �IVy�I HH Address(Number and Street) Address(Number and Sweet) /� THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary ® 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ I 1906 S.Wind Power Device Address N Old randSsburg Road Address(h'umbv and Street) ❑ Z 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County '❑ is 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 ❑ V] 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) Partick L.Toll (26-QS-3 i- y 00-CV.9a5-Da ) City.State ZIPCode County Primary property owner contact name E-mail