Homestead_Phillips (6) ie .
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Roman Ricker Attorney
Preparer of the Sala Disclosure Form Tide
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• 219 N. Hart St.,P.O. Box 13 Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 rrickerehpk-law.com
City.State.and ZIP Code Telephone Number E-mail
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Stephen Alan Douglas
Seller 1•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1510 Brentwood Drive
Address(Nuniber and Street) Address(Number and Street)
Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by la fits d is p/epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/ . III
Signature o -eller / Signature of Seller
Stephen Alan Douglas 6/25/2018
Printed Name of Seller Sian Date(MM/oo/rvn) Printed Name of Seller �n Date(MM/D/YYn
��B1YER(S)/GRNTEE(SWAP.P,:IGATIONL FORTPROPERTvTAX4DDUCiIO:S?IDEn!T[FYA ''t HA ,Pf °.. - -7. ''-.
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Trent L Phillips Emily A. Phillips
Buyer I-Name as appear on conveyance document Buyer 2-Name as appears on conveyance document y�r
116 N.Main Street 116 N. Main Street JUN 2018
Address(Number and Street) Address(Number and Street) IA-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
_ YES NO CONDITION ��/ TFTmN
❑ ❑ 1.Will this property be the buyer's primary (/ I ❑ 3. Homestead
residence? Provide complete address of primary ` _L_1.J_ 4.Solar Energy Heating/Cooling System
residence,including county: ❑ igi
1368 S 100 W S.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ E 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 ❑ g 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.
(9._, (Nota�Y[(lilable in all counties.)
Address(Number and Street)
a I J— '—�� �� �
Trent L.&Emily A.Phillips
City,State ZIP Code County
Primary property owner contact name E-mail
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