Homestead_Wright (27) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DiP.REP:ARER'_ -�_,_, - .— -- --. - _ - --- -- —
Roman Ricker Attorney
Preparer of the Sales Disclosure Form Title -
219 N.Hart St., P.O.Box 13 Partenheimer,Kinkle&Ricker
Address(Number and Street) Company -
Princeton, IN 47670 812-386-0050 rricker(&hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
SE SE ELL•ER(S)7GRANTOR(S)r_- -- _ ,
Coronado Ridge Corporation
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1350 151st Street
Address(Number and Street) Address(Number and Street)
Carmel IN 46032
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comple e wed b law, nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
r/ Pc es1tic , (
S(gna . h Seller �0� 5 10/I Signature of Seller
/r'1/lt B,Q� / I
- Pn)ded Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DO/rrrvl
_F..BUYER(S)%GRANTEE(S) APRLIGATIONIFORP.ROPERTY/TAX.DEDUCTIONS_IDENTIFY;AIiLlTEMSTHATAPPLV- __ -
BuyerI W.Wright TLED
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doc�t
223 Hawk Trail �1�1
Address(Number and Street) Address(Number and Street)
Winchester,VA 22602 MAY 11 2017
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSETIFIRMilt OUNTY AUDITOR
YES NO CONDITION YES NO CONDITION
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1l ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary
El WI 4.Solar Energy Heating/Cooling System
residence,including county:
913E Kentucky Street ❑ D 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Princeton. IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Ill 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 ❑ (7) 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) -
City State ZIP Code County Jeffrey W.Wright I-i -11- la-e�4a4o 9
Primary property owner contact name E-mail
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