Homestead_GoffinetINDIANA SALES DISCLOSURE FORM
Roman Ricker
Prepart� of NrSufa Dkdarvre Form
Addrea (Number andStreelJ
Princeton. IN 47670
Ciry, Srute, ond ZIP lade
E. SELLER(Sl/GRANTOR(Sl
.lohn L Sh�jgj�t anA Mary F Ctra�ght RPVOraMP t iving Tn ct
Scller 1� Name os appears m mnveyonre domment
Addrea (Num 6e� and Svee[J
Fort Branrh. IN 47fi4R
Ciry, Smte. and Z1P Code
Teleuhone A'umber E-mai/
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TiUe �
lall Partenheimer & Kinkle
Company j
72386-0050 rncker(dhok-law.com !
TelephoneA'um6er � E�mail
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Inhn l Sfrai9ht and Mary Ctr ' ht Revor.ahla L iving Tn�ci �
Seller2-Nomeasappearsonronvryanredacument I
S06 W Walnut St
Address(Vum6erandStreeQ lN
�ort Branch. IN 4764R 1
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Under penal[ies of perjury, I hereby certify tha[ this Sales Disclosure, to [he bes[ of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordanc�with IC �1.1-�S,S. "Real Property Sales Disclosure Act".
Signamre a(Sefler
Buytr I� Name es appeart on tonveyancr dacummt
114 S Main Sireei
Address (NUmBer ond Stree[J
Ciry, Sm:e. and ZIPCode Ciry, Smte, and ZIP Code
Tf1E S.lLES UISCLOSURE FONM1� MpY BE USED TO APPLY FOR CERTAIN DEDUCf10\S FOR THIS PROPERTY. IOF.�TIFY ALL OF TNOSE
Q ❑ 1. Will this property be [he buyer's primary
residence? Provide comple[e address of primary
residence, including county:
804 E Sindair St
Addrecc (Num6er and Svee[J
Ft Branch IN 47648 Gibson
Liry, State ZIP CoAe Lounry
❑ � 2. Does [he buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
including county:
Address (Numbe� and SveelJ
Ciry,Sm¢ZIPCOde launry
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3. Homes[ead
4. Solar Energy Heating/Cooling Sysh
S. Wind Power Device
6. Hydroelec[ric Power Device
7. Geothermal Energy Heating/Coolin
8. Is [his property a residential ren[al
9. Would you like to receive tax state�
property via e-mail? (Provide conta�
below. Please see instructions jor mc
Not availa6le in all couniies.)
owner ronmrt
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;Device ry�
�roperry?
�ents for this
[ in%rma[ion
�e in%rmation.
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E-mail
Under penalties of perjury, 1 hereby certify that [his Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (No[e:
Spous information, Social Security and Driver's License/O[her numbers are no[ necessary if no Homes[ead De� uc[ion is
bei gfil d.)
Slgnamre ofBuyer] Signvmre af Buyer2/Spouse
.,_._._._.._..,__. i��n3�a,n I�
Pnn¢d Legal Name
Lirense/1 D/O[her Number
Legvl Name aJBuyer Z/Spouse
Las[SdigiGSO(Buyer2/SpouseDriver's Sm[e Las[SDigiLsofSocial5ecuriry
Num6er License/l0/OtherNumber '