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HomeMy WebLinkAboutHomestead_Granderson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 iD::PREPrARER • t .,,a <: _44` a' _ -s'-'' P' .; -. M-7'-"-"..r Roman Ricker Attorney Prepa rer 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 rrickerehok-law.com City,State,and ZIP Code Telephone Number E-mail r- . ems 4�t:' ti .f 1.T' t-_ .:4 h-::S:.4'{9.-5 7 _.M1 : • t -.."',* -':,, ," #: . -.,''1h IE.S'ELLER(S)/GRQNTtOR(S) .-1 3'-".d a x , <_..a - .... ., e- Matthew D Ambrose Hollie Stevens. n/k/a Hollie Abrose Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 12680 S Scottsdale Drive 12680 S Scottsdale Drive 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 corn to as equired by w, d is prepared in accordance with IC -1.1-5.5,"Real Property Sales Disclosure Act". o tat i.adi Sig war Signature al Seller Mathew D Ambrose 4/14/2018 Hollie Stevens n/k/a Hollie Ambrose 3/140018 Printed Name of Seller Sign Date(MM/DD/YYYI'I Printed Name of Seller Sian Date(MM/DD/YYYT) if BUYER(S)Y/MGR'ANTiEE(r ti&p rill& ilCAROR\PRQPERil A EIEDDUC,Til.0S IDENIT:I&Y ALL ITEMS,THAT-APPPI1Wft +.'': ;"F a] Matthew L. Granderson Tiffany A. Granderson Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 3108 Address s(Dacesan Road 3108 Address S. Jackson ran Road �� Address(Number and Street) Address(Number and Street) . IDENTIFY ALL OF THOSE THAT APPLY.° S- * -.)4- YES NO CONDITION I YES NO CONDITION . 9 Q ❑ 1.Will this property be the buyer's primary VI ❑ 3. Homestead GOB - residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Sys(Qp residence,including county: 12680 S Scottsdale Drive ❑ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Haubstadt. IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 2. Does the buyer have a homestead in Indiana to be 111 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 2 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 cou//ntie ) CG/ Address(Number and Street) Ot-�p�_754"4300-10/ CO ✓- Matthew L. 8 Tiffany A.Granderson City,State ZIP Code County Primary property owner contact name E-mail