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Homestead_Hamilton (2)
INDIANA SALES DISCLOSURE FORM SDF ID:_ Page 2 iD'.PREPARER;=- - ------ _ - - - - ' . . I Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall,Partenheimer&Kinkle Address(Number and Street) Company Princeton,IN 47670 812-386-0050 jrkinkle(tilhpk-law.com City State,and ZIP Code Telephone Number E-mail _E:SETLE(S)''/.GRANTOR(Sn :-----' - '- _. r --- --7_ t• Richard D Rnherson Rehekah S Rnherson Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document 1702 F Broadway 1702 F Broadway 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 complete as required by law,and is prepared in accordance with IC -5.5,"Real Pro.erty Sales Disclosure Act". mac -- _ _ �.a Signature opener Signature of Seller Richard 0 Roberson 3 •2S-3o I b Rebekah S Roberson 3 -.?3'-26/6 Printed Name of Seller Sian Date(MM/0D/rvrv1 Printed Name of Seller Sian Date(MM/DD/YYYY) LE:.BUYER(S)/6RAIEL(S)LAPPEIGATOKr:O PROPERTtfiTAXDED.UCTIONSl[DENTIaAff.ITEMSTHATAPPLY _ . Lisa M.Hamilton Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5886E 500 N Address(Number and Street) Address(Number and Street) Patoka,IN 47666 YES NO CONDITION I YES NO CONDITION IAy��� IA ❑ 1.Will this property be the buyer's primary I7] ❑ 3.Homestead MAR 29 2 16. residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 1804 E Broadway ❑ 151 5.Wind Power Device . Address(Number and Street) ❑ Q 6.Hyd roelectrthy Princeton, IN 47670 Gibson ❑ 7,Geothermal Energy Heattingy City,State ZIP Code County 0 12 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 ❑ ❑ 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. 5886 E 500 N Not available in all counties.) Address(Number and Street) Patoka, IN 47666 Gibson a 6-1 a- O '-2D3 - oat City,State ZIP Code County Primary property owner contact name E-mail