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Homestead_Maurer (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -- Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St.. P.O. Box 13 Hall,Partenheimer&Kinkle Address(Number and Street) Company Princeton,IN 47670 812-386-0050 rrickero@hpk-law.com City,State,and ZIP Code Telephone Number E-mail ,E.;SE[hER(S)TGRANTQR(SGe- b - {ate i 4a �£��: � r-♦ r l � r .. Benny C Barth Mika L.Barth Seller)-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document 701 E EdinhoImugh Ct 701 F Frlinhnurrn(gh Ct Address(Number and Street) Address(Number and Street) Hauhstadt IN 47639 HauhstadL IN 47639 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and�corn•lete as required by law,and is r repared in accordance with IC 6-1..1,-5.5,"Real Property Sales Disclosure Act". 7 Signature of Seller Signatur fSeller Benny C Barth 08/S/ /2016 Mika L Barth 08/37 /2016 YY) Printed Name ofSeller Sion Date(MM/DD/YT Printed Name of Seller Sian Date( M/DD/YYYY) F:BU}`ER(SIGRANTEE(SpAPPUICATIONiFOR=PROPERTY_TAX-DEDUCTIONS IDENTIFY:ALLrITEMS.THATkAPPLY -._ r - Terry T. Maurer Joann M. Maurer Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2562 Address E.(Number and 2562 E.(Number S. ILED Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 Haubstadt, IN 47639 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APP Y. . n YES NO CONDITION YES NO CONDITION •■ u- p- 4w } - 2 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead GIBSON Cnl+ 'TV gf(D(TOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 701 E Edinboprough Court ❑ Ig 5,Wind Power Device Address(Num er and Street) ❑ M 6. Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 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 ❑ 0 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. 2562 E. 1200 S. Not available in all counties.) Address(Number and Street) e) co — ( -3 I -36 3-b as Z a -bag Haubstadt, IN 47639 Gibson Terry T.Maurer&Joann M.Maurer Ciry,State ZIP Code County Primary property owner contact name E-mail