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Homestead_Segovia Y . INDIANA SALES DISCLOSURE FORM SDF ID: __ _ Page 2 L-D?,RERARERI- -� tl; s T .,, +3xPT _. - 'r'~_.: J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkleOhpk-law.com City,State.and ZIP Code Telephone Number E-mail bE SEL'LER(S)%GRANTOR(S)1-' -_ . T : �_, . Maria De La Luz Gonzalez Segovia Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1215 S. Gibson Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct nd complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". CI(c-Z_ Signature of Seller rj e5 0 V s 0. Signature of Seller 0,4 ;cc. be la L4 a Gonlza ez 02/15/18 Printed Name of Seller Sian Date rM.N/DD/YYi'Y) Printed Name of Seller Sian Date FMM/UD/Y'CiY) GE BUY�ER(S')r/GRANiIPEE(S) APRIMGATIOWROR P,RORERTIVIIAXWED,UEBIONSb ID ENTIFaYt;ALlinEMSCTHAVATI L 1- Maria De La Luz Gonzalez Segovia Miguel Alvarez Obregon Buyer I.Name as appears on conveyance document Buyer 2(Name as appears)conveyance documer,{�I�/ , 1215 S. Gibson Street 1215 S. Gibson Street e1J�...t, ''Addresss(Number and Street) Address(Number and Street • Princeton, IN 47670 Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.th �t YES NO CONDITION YES NO CONDITION nIRSr1N COIINTY AUDITOR ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ © 5.Wind Power Device Address(Number and Street) ❑ 12 6.Hydroelectric Power Device City, ZIP County ❑ 12 7.Geothermal Energy Heating/Cooling Device ❑ 12 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. Not available in all counties.) Address(Number and Street) ,State ZIP Code Gibson 2&0-la -I 5- 2_63 002- 13 7 o2.k City, Primary property owner contact name E-mail INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2 tEI PREP,ARERt ;`6 »,r':. •s'" — — J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkle(ohhok-law.com City,State,and ZIP Code Telephone Number E-mail k E4SELLER(S)%GRANITiOR(S)' ,rF 1 a -t: , 4: .tt —. —3 Robert W.Asberry Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8322 Dale Road Address(Number and Street) Address(Number and Street) Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c. . plete aquired by law,and is prepared in accordance with IC 6-141-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature afSeller Robert W.Asberry 02/ /18 Printed Name o/Seller Sign Date(PtM/DDprr1) Printed Name of Seller Sian Date(MM/DD/Ym) tFlBUATR(S)t/,GRANTEE(S)-bAP,P,LIGATilONIFOR IRROHERTtY/TAXWED.UCTIONS=IDENTIFiYtALLiITEMSITHAVAPPLY/.7 Maria De La Luz Gonzalez Segovia j a. Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conve n -d•(u �' t P 1215 S.Gibson Street -' Address(Number and Street) Address(Number and Street) Princeton, IN 47670 FEB 16 2018 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OT'TTrOSETIikicPP ('. /W DITOR YES NO CONDITION I YES NO CONDITION ❑ 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: ❑ Eg 5.Wind Power Device Address(Number and Street) ❑ is 6.Hydroelectric Power Device ❑ 12 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ 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. Not available in all counties.) Address(Number and Street) /Ar ^ i9 (A_ L3^�^• 1432-O L & Gibson (-Jt�fl7 "Q(1 �U( CJ� OX�(/ (J-)wY City,State ZIP Code County Primary property owner contact name E-mail