Homestead_Goodson (2)INDIANA SALES DISCLOSURE PORM SDF ID: Pa e 2
D.'PREPARER . ' ' . . _ -
J. Robert Kinkle Attomey ��f r
Preparero/fheSalesOlsdosureFOrtn Title -
PO Box 13. 219 N. Hart St. Hall, Partenheimer & Kinkle
Addrecs (Number and Street) Campany
Princeton.IN 47670
E-mail
E: SELLER S GRANTOR S�_ � ' -
Garv M. Rlar.kbum Shiriey A. Rlackhurn
Seller 1- Name as appenrs on canveyanm dacvmmt Seller 2- Name as appmrs on ronveyvnre dotvment
1512 Cottonwood Drive 1512 Cottonwood Drive
Address (Number and Street) Addres (Numberand Sbee[J
Princeton IN 47670 Princeton IN 47670
City, SmtG and Z/P Lode Lity, Smte, and ZIP Lade
812-385-4204
Tele honeNum6er E-mall Trle honeNumber E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required b / and is prepared in accordance with -1.1-5.5, "Real Prope Sales D' closure Act".
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5/gnam�eo/5 er Signamrea(Seller
Cdary M Blackbum 10/ 9 I2012 Shirley A. Blackbum t0l q2012
PdntedNamea Seller SlonDate HH D PdntedNomeo Sel%r Sl nPvtef . D
ER S' GRA S-APPLfCAT10N FOR PROPERTY TAX DED - LL-[TEMS THAT APPLY " '"
Gre Goodson usan Goo son
Buyer]-Nameasapp nronveyancedacument Buyer2-Name rsonronveyanttdoevment
. rive 221 North Drive
Address (Number ond Stree[J Address (Numberand Svee[)
ML Carmel. IL 62863 ML Carmel. IL 62863
Ciry, SmlG and ZIP Lode City, Smte, ond ZIP Code
E-mall Tefe honeNUmber E-mall
THE SALES DISCLOSURE FORM MAY 9E USED TO APPLY FOR CERTAIN DEOI1Cf10NS FOR THIS PROPERTY. IDENTIVY ALL OF THOSE THAT APPLY.
1'ES NO CONOITIOY / NO CONDITION
� � 1. Will this property be the buyer's primary � ❑ 3. Homestead
residence? Provide complete address of primary , o ar nergy Heating/Cooling System
residence, including county:
i512 Cottonworui DrivP ❑ ❑� 5. Wind Power Device
Addren(Numberond5trret) ❑ Q 6. Hydroelectric Power Device
Princeton IN 47670 Gibson � Q 7. Geothermal Energy Heating/Cooling Device
Giry, Smre Z/P Code Counry
❑ � 2. Does the buyer have a homestead in Indiana to be � � $� �s this property a residentlal rental property?
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 injormotion
including county: 6elow. Please see instructlons for more information.
Not availa6le in all countles.)
Address(Num6erand5vee[J a�,a,�b - yo � aa a ya 9 a��
Grecl and Susan Goodson
Clry, Srnte ZIP lode Caunry
Prlmary properry owner conmct name E-mall
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 law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Drivers License/Other numbers are not necessary if no Homestead Deducdon is
being filed.)
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