Homestead_Allen (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Roman Ricker Attorney
Preparer 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 rricker(Whpk-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) _
-
The Hinton Group I I C
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9024 Lyndon I akes Place
Address(Number and Street) Address(Number and Street)
I ouisville KY 40242
Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Selle Signature of Seller
Kimberly K I aMar Attorney-in-Fact 8/17/2018
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Stan Date(MM/DD/YYYF1
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL-IT NO%HAiT AI?Plet 1 . 1
(�yce A.Allen? JL IL AJ_IL./
nuyerl_Hame as appears on conveyance document Buyer 2-Name as appears on conveyance document
503 S. 8th Avenue AUG 2 0 2018
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 / • i'
THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES e- c
I
0 El 1.Will this property be the buyer's primary 4 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ NI
503 S 8th Avenue S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 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)
Joyce A.Allen
A60 -. .Z3 -Ote-aop - oov. 77iv-oo7
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number