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Homestead_Saum INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - ' Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide PO Box 13, 219 N. Hart St. Hall, Partenheimer, Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) • Frank Folkmann Marcella Folkmann Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 435S 180 E S 180 E Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c. plete arequire. l y laws nd is prepared in accordance with IC 6-1.1-5.5,"Real P operty Sales Disclosure Act".Si' natured Seller .1 Signature of Seller Frank Folkmann 06/ale/0016 Marcella Folkmann _ _ - e ._ I • Printed Name of Seller Sian Date(MM/DD/rvn) Printed Name of Seller Si; Lfatet�t F.BUYERj/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS( HA I! •F'L• ; i;/ I ' '6adlev E. Seum) Jacqueline C. Saum are.i-name rune on conveyance document Buyer 2-Name as appears on conveyance document)UN 2 9 2016 132 10th St. 132 10th St. Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION Y B--E6FALTIDS 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea> residence? Provide complete address of primary © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑ 435 S 180E 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ID 2. Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ E 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: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) p Bradley E.Saum a' f'2 -o9-.301) -OOI. 8N /Veal, City,State ZIP Code County Primarypropertyowner contact name E-mail