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Homestead_Hyatt
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 IDI;RREPARER _ .1. .-„ r --- ---] Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker@hok-law.com City,State,and ZIP Code Telephone Number Email FL,SEMER(S)%GkANTOR(S)17 _ — — -- — — Michael McDonald Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8727 Meadowood Drive Address(Number and Street) Address(Number and Street) Newburgh. N 47630 Under penalties of perjury, I herebyf rtify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as r quirea y law,a d is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". C Signature a Seller - Signature of Seller Michael McDonald 10/30/2017 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date/MM/D0/YYY11 iF:BUYER(M GRANTEE(S)EAP-PL'IEATION'EOR}PROPERY TAXWEDUCTIONS=VENTIFY(ALTL;ITEMSTA TiARFLY4 7] Joshua A. Hyatt Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance dose'y. 4240 W. Old State Rd. 65 /(g Address(Number and Street) Address(Number and Street) 'Q .,r Princeton, IN 47670 // THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF9THdaq/r 1?P,L - YES NO CONDITION YES NO CONDITION OUN( 0 ❑ 1.Will this property be the buyer's primary [ ❑ 3. Homestead ry0Oj7. residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 4240 W Old State Rd 65 ❑ fl 5.Wind Power Device Address(Number and Street) ❑ tz 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ tz 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 ❑ Z 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) 2 L— 1 I- 1p- t 00 - 00 a , (oq - o al Joshua A. Hyatt City,State ZIP Code County Primary property owner contact name • E-mail