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Homestead_Guinto INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ID!PREP,ARERLj^- -:.'`'_• ==1°'�._ .—, —.��_ a- r,.'n.�'mac' –r ,. _. _�. '_^1 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( hok-law.com City,State and ZIP Code Telephone Number E-mail , � EE?iSEL'LER(S�r/,GRi1NIT10R(S)L ,a _—_- ��' 'yrNl.: �z z .,--"`=z.'R�_� , �':'r Teresa Myers Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2720 F SR 64 Address(Number and Street) Address(Number and Street) Princeton IN 47670 and complete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �� dt Signature of Seller Signature of Seller Teresa Myers 7/11/2018 Printed Name of Seller Sign Date(MM/DD/rYYY) Printed Name of Seller Sign Date(MM/DD/YYrl DFTBUXERES W,,GI}AINIIFEE(S)1YJAP MIGATdoNbF,OR ER.0R,ERTeY6TAX-0DERUCATIONODENMIFaY,ALL ITEMS THAT[kP:WE;' cam__ • ) Venus S. Guinto Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conv e!lent 403 S. Fourth Street - 2 t+ _!F In Address(Number and Sweet) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSEV'�rfs'�I'APP ith. GIBSON COUNTY AUDITOR YES NO CONDITION 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: ❑ 19 5.Wind Power Device 111 New Jersey Street Address(Number and Sweet) ❑ 0 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ [ 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 ❑ 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 counties.) Address(Number and Street) Venus Guinto 2k 17r�]I�–I u -3 D 11-0"��A,�nJ • /b80;2 City,State ZIP Code County Primary property owner contact name E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct