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Homestead_Davidson (6)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID\PREPARERS .,> . -c.:_:. ; ;• 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(Whpk-law.com City,State,and ZIP Code Telephone Number E-mail iE4SEBL+ER(S')%GREINITOR(Sjt _ ", _ t _c '' .t- :''t y ] PPT Industrial Machines Inc Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 714 N Walnut StrPt=t Address(Number and Street) Address(Number and Street) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cq ple) as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sign . re of Seller Signature of Seller Tim Johnson President 12/11/2017 Printed Name of Seger Sian Date tMM/DD/YYYY( Printed Name of Seller Sion Date(MM/DD/rvn) IFLBU,XER(S/GIMITIEE(S)aAP,P,LIGATION ORtRROPE RTpYjTAXOEDUETIONS IDENd IF AI''L ITEMSIMI-1 APPLY Beth A. Davidson Buyer I-Name as appears on conveyance document Buyerl-Name as appears on conveyance doc t� ' - 927 Village Drive Address(Number and Street) Address(Number and Street) Henderson, KY THE YES CONDITION THIS SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTi1 PROPERTY. IDENTIFY OF THOSE THAT A"�' NT AUDITOR ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 504 W Cherry Tree I one ❑ ri 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ig ❑ Q 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. Lo - id —Not available in all counties.) Address(Number and Street) Q'7 _3 Q I Q o l o Beth A. Davidson City,State ZIP Code County Primary property owner contact name E-mail