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HomeMy WebLinkAboutHomestead_Goldman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 RD!IRREPARER _ tv s-. -, N it}' a - 2 . •. e,4 0,-� Sa +t�Y j .:.'r :r t : 't • ti s.>:r,^r Roman Ricker . Attorney i Preparer of the Sales Disclosure Form Tide 219 N. Hart St.,P.O. Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company II Princeton,IN 47670 812-386-0050 rricker(athnk-law.com City,State and ZIP Code - Telephone Number - E-mail Tj SELLER(S),/.GRANTi0R(S)f'�'• . j S-: ``:.._. - t.. _ e .,`r= - ...x ir•3 � tl The Hinton Grnup I LC ! � Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9024 Lydon I akes Place •i 1 Address(Number and5trset) Address(Number and Street) is Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct l! and complete as r-quired by law,a,d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". • , i • • ., re-. ' ' - lea _ 'I Signature of Sell r Signature of Seller i Kimberly K LaMar Attorney-in-Fact 4/5/9018 ' Printed Name of Seller - Sign Date(MM/DO/YYYt) Printed Name of Seller f Sign Date(NM/DD/YYYY) •I eP:BUIYER(S)G gNT!EE(SWAP'�PWGAITIO P ARRORERCI TAX D,U. TiIONSO IDENTIFdR'Lb1ITIEMSONIIVAPPLiW:E-r4-'rW.WgW`t Lbq � Jill T. Goldman - I Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 'I 505 S. Hillcrest Street - I Address(Number and Street) Address(Number and Street) iI Fort Branch,IN 47648 h ( THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 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: t 501 S 8th Avenue ❑ PA 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Haubstadt, IN ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County I ❑ 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 - ❑ E 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) i�(o d 3-bb-aco-Q�.775—opq - I Jill T.Goldman �I Ciry,State ZIP Code County 1 ii jil