Homestead_Rich_,
SALES DISCLOSURG PORM SDF ID:
530 FREDERICA STREET
AdEred (NUm6erandSo-rey
OWENSBORO KY42301
CYry, Smm, cndZlP faCe
RONAI D � MARTIN
Sdfer 1- Name as appearz om m�veyance docummt
1307 F 15p R.
Addr� (Number oId SaeetJ
PRINCETON IN 47670
Liry, Srurq and IIP CeCe
� � ,
Under penalties of p�
artd2qmple e s r�
}i
1�..
S{qnamreof5eller
RONAf D 1 . MARTIN
PiVnre
;! UX�RfS)'%GR:SNTE°
�
MICHAEL ALAN RICH
e�ryw I- Name as appmnan
�
Addrev (Num6n and S V eet)
�RINCETON �IN 476�
. Ciry.Smfq vndII➢Lode
cerdfy that this Sales Disclosure, to the
atis,prepared in accordance with IC 6-1
FORM MAY BE USEO TO APPLY FOR [ERTAIN DmUR10NS FOR TNIS
Q✓ ❑ 1. Will this property he the buyer's primary
residence? Provide comple[e address of prim �
residence, including coun
/3 0l c ls p �`
Addres(Numberand5f{�) T _/
�'/'ihlEfiM � i—/V Cf%/ �J�
an, s�a zrr cod� co��a
� � � 2. Does the buyer have a homestead in lndiana m be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
Addrets (Num6erandStrat)
Ciry,SmleLPlede
1�
9gnamre oJWlu
USAN D MAF
PMtedN meo(A
C,`C(ONS�tDF.
Bvyv2 - Name ai
Addres Mumber c
City, Smtq and LY
��
Q ❑ 3. H�mes[ead
�#ar�E gy Heatir
� Q 5. lMind Power Device
❑ Q✓ 6. H � droelechic Powe
❑ QJ 7. G�othermal Energy
� �✓ 8. Islthis property a re
❑ ❑✓ 9. W�ould you like m n
prpperty via e-mail"�,
below. Please see ins
N t available in a(1 c
.��- /�-.,?�. �M_ i
Under penaldes of perjury, I hereby certlfy [hat [his Sales Disclosure, to [he besf of my knowledE
and complete as required 6y law, and is prepared in accordance with IC 6-11-5.5, "Real Propert
Spouse informarion, Social Security and Driver's License/Other numbers are no� necessary if no
LastSdigla
License/ID/ONerNumber NumLer Ue
I/SpoUX
Driver't
E-ma0
belief, is true, correct
Disclosure AcC.
$ystem
ig/Cooling Device
ial rental property?
tax statements for [his
ide contact infarmation
rns for more information
belief, is Crue, correc[
� Disclosure Ac['. (Note:
stead Deduction is
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