Homestead_Powers (3) INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 17 - 1099431 Page 2
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CARLA WALTMAN ESCROW CLOSER
Preparer of the Sales Disclosure Form Title
331 FRANKLIN ST TITLE CENTER OF INDIANA
Address(Number one S:ree:) Company
COLUMBUS, IN 47201 812-372-1170 CARLA.WALTMAN@
City,State and ZiP Code Telephone Number S ry E-mall
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ROBERT SCOTT PARTENHEIMER CHRIS ROBLING
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveeyanee dot-amCot
1209 S 1075 E 1209 S 1075 E
Address(Number and Street) Address(Number aid Street)
OAKLAND CITY, IN 47660 OAKLAND CITY, IN 47660
Under penalties of perjury, I h eby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
lnd omplete s required law, and is prepared in accordan with IC 6-1_1-S.S,"Real Property Sales Disclosure Act".
Signature of Seller • Signature of Seller
ROBERT SCOTT PARTENHEIMER /- 3 /7 CHRIS ROBLING / C9 /.7
Printed Nome or Sailer Sin DaetMMIDD/YY11Y1 Printed Nome of Sates -__ Sian Date(NN/DD/MYI
`flUYER(S)/GRANTEE(S).:..AP.P.L'IUATION;EOR'PROP,ERTYa.TAX.DEDUCTIONS=IDENTFFYtALLITEMS4THATAP.P.L1':,,s._`+_.. di ..a.r
NICHOLAS LEE POWERS WHITNEY CHRISTINE POWERS
Buyer I-Nome as appears on ran veyance dacim,er: Buyer 2-Name as appears on conveyance document
9897E 700 S 9897E 700 S �_
Address(N an Sbcct) Address-(Numb md.Strre!)
OAKLAND CITY, IN 47660 OAKLAND CITY, IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION GIaSON COUNTY AuDITUR
m ❑ 1.Will this property be the buyer's primary m ❑ 3.Homestead
residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System
residence,including county:
1209 S 1075 E ❑ ❑ S.Wind Power Device
Address Nun,DerardS;rnt` ❑ m 6.Hydroelectric Power Device
OAKLAND CITY, IN 4f6E0 26 ❑ 0 7.Geothermal Energy Heating/Cooling Device
Lily,State ZIP Code County
❑ m 8.Is this property a residential rental property?
❑ m 2.Does the buyer have a homestead in Indiana to be ❑ m 9.Would you like to receive tax statements for this
vacated for this residence? If es,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
below.Please see instructions for more information.
including county:
Not available in all counties.)
Add:ass;thrnrter and Str ee•j 49/-1313 30-Od)16'lac 6
NICHOLAS LEE POWERS
City,State ZIP Code Court:y la imar property owner contact name E-mail
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