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HomeMy WebLinkAboutHomestead_Grimes INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D P.REPARER!----- - :_,, 1 -s-7- ' a ,,`-�° .s:r 'Vr S v.. - v 7:.27"--- - • _ -- -,..-X1• Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart St. Hall,Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker @hpk-law.com City,State,and ZIP Code Telephone Number E-mad E.SEGtiER(S)%GRA'N'0R(S)= >_._ ' t4'-- 1 ,2 _- . 77++_,-7r. ...._:1 Aaron Fnfprprises-Inc Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5101 Kleinz Rd Address(Number and Street) Address(Number and Street) Evansville IN 47720 Under penalties of perj1' , I e eby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cam lete a -ed . •s .w,and 's ,/u ared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller havid F Greuhel POA for Aaron Gabe VP 06/30/2016 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date IMM/DD/YYM .F?BUYER(S)'/,GRANTEE(Sp PPIIGATION;FOR'•PROPER'YTAXiDEDUCTIONS=IDENTIFYALLITEMSTHAT:APP:Iir. -c f_i Dorothy N. Grimes Ronald Grimes Buyer I-Name as appears on conveyance document Buyer 2-Name as appears �+- on conveyance document 1� 7P� 1903 Boulevard Place 1903 Boulevard Place t� .'b Address(Number and Street) Address(Number and Street) `6V d, THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 0(/NTy9jer YES NO CONDITION YES NO CONDITION /100,'70fi (zi ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5 5.Wind Power Device Address(Number and Street) ❑ z 6.Hydroelectric Power Device ❑ Ej 7. Geothermal Energy Heating/Cooling Device City,State ZIP Code County 5 ❑ z 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes, provide ❑ ❑ 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) at—d.3—CJlo -doe- ox..,0 0 "W9 City,State ZIP Code County Primary property owner contact name E-mail