HomeMy WebLinkAboutHomestead_Mills (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
,DMPREP,ARER1- - -n z -- .•,:.,; _ ._ _a:_ . - . . --1
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Tide
219 N. Hart St-, PO Box 13 Partenheimer, Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 rricker@hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
I I
LEf;SEELIER(S)/GRANIT,OR(S); - - - -;_ - - '-1
()avid J Skelton
Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
412E Ohio Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 ,
City,State,and ZIP Code; City,State,and ZIP Code
- E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete sss rrreeequi nd is prepared in accordance with IC 6-1.1.5.5,"Real Property Sales Disclosure Act".
`ignatureofSell// ///�(// Signature of Seller
David.I Skelton .9 r/vim/ 09
Printed Name of Seller Sian Da (MM/D /YYYV) Printed Name of Seller Sian Date(MM/DD/YYYY)
E;:BUYERfs17GRANTIESMAPseEIGATIONiEMP,ItORERIMPAW/EDU T:IONS-,aIQENTIEWLlii1TEMS}THAMAREEY1 ' 1
' K L. Mills \ e,I n ) - --
Buyer I-Name as appears conveyance document Buyer 2-Name as appears on conveya doc e
2- Morton Street
Address(Number and Street) Address(Number and Street) JAN 2 9 2019
Oakland City, IN 47660
E-mail Telephone Number f;lRSf1N rill INTY AI If1!Tr12 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P eRT9:TD'E CO THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ' /Cooling System
residence,including county:
731 W Morton Street 0 05.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
' Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
I ❑ 0 8. Is this property a residential rental property?
i ❑ 0 2. Does the buyer have a homestead in Indiana to be
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: letlrPlease see instructions_ or more information.
Not available in all counties.)
Address(Number and Street) �J� 7 ark
K e .Mills 26'/9—Ig"30' 00D, 82 7-Do
City,State ZIP Code County
Prima roperty owner contact name Email
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the ' true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
Number License/1D/Other Number