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HomeMy WebLinkAboutHomestead_Grimes INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I). PREPARERi_ : ; 7,-14... . 7-,., u 7_177.-:::.;:;;C: `. _ f J. Robert Kinkle 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 irkinkle(@hpk-law.com City.State,and ZIP Code Telephone Number E-mail :.E:SELI;ER(S)/GRANTOR(S)i .i _,E 1"...LL 'r'' '.7-7 ' ' tri YL. s ?. ,r w z .._..._ _ - -'• Hori7on Property Holdings LI C Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5101 Kleitz Road Address(Number and Street) Address(Number and Street) Fvansville IN 47770 a Under �c perjury, by certify t this nSales Disclosure,with to the best ,of l knowledge and belief,is true,correct and com [e as r u� 1 and is re red in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". Signature of121(ler r �P77 Signature of Seller /y Printed Name of Seller Sign Date(MM/DD/YYY11 Printed Name of Seller Sian Date(MM/DO/YYYY) F.BUYER(S)t/GRANTEE(Sj.-'ARPIiICAT10NiEQRtP,ROPERTY±TAX41)EDUGTIONSEiIDENTIF,Y'AL'Ii:ITEMSWATA'PRL'Y`_ I Dorothy N. Grimes Ronald J. Grimes Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docum�IT , D 521 S. 9th Street 521 S. 9th Street 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 T u COUNTY AUDITOR YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: ❑ NI 605 S.9th Ave S.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ ) 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 1 LI 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. 521 S. 9th Ave. Not available in all counties. Address(Number and Street) (9G-13' -pb- a OD - 000- qs- Mal Haubstadt, IN 47639 Gibson Dorothy &Ronald J.Grimes City,State ZIP Code County Primary property owner contact name E-mail