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Homestead_Jones
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 (D=PREPARER'. -.-_ �.r+' •'ram `: :LH! iL 'r- = J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton. IN 47670 ♦♦ E-mail ;E:.SEL'bER(S)%GRANITOR(5)L .3-b CrrEl _S�'` `.=_ _ ,°-.. iC_ri• :� �1;..R • :. 35-7,ys Mid-West Devejnnment Inc Seller I Name as appears on conveyance document Seller 2-Name as appears on conveyance document 106 S Fifth Avenue 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 as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Tim Mason 4l 2-'12019 Printed Name ofSeller Sian Daie(MH)OD/YYYI) Printed Name of Seiler Sian Date(MM/DO/rrll F..BUY-ER(S)/-GRANTEE(S)3. APPLICATION FOR-,PROPERTY,TAX'.DEDUCTIONS_IDENTIFY'ALL ITEMS,TH4TAP.PLY._ Janelle Jones Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 8496 E SR 168 ��g �D Address(Number and Street) Address(Number and Street �I J Oakland City,Indiana 47660 E-mail pone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR S PROPERTY. IDENTIFY ALL OF TH THAT PL YES NO CONDITION I YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary / ❑ ❑ 3. HopmcztiCOUN Y AUDI I UK residence? Provide complete address of prim ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device Address(Number and Street) ❑ f 6.Hydroelectric Power Device ❑ E 7.Geothermal Energy Heating/Cooling Device City;State ZIP Code 1-aunty ❑ ❑ 2.Does the buyer have a homestead in Indiana it be ❑ ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Q 9.W.ould'_you.like.to.receive.tax-statements.for this complete address of residence being vacated, Property-via'e=mailT(Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) Gibson YL- 2D -16- 200 -Col • '/2 -WI City,State ZIP Code County Pr •ary property owner contact name E-mail Number License/ID/Other Number