Loading...
Homestead_Eisenmann INDIANA SALES DISCLOSURE FORM SDF.ID: Page 2 IIIIPREPARER — _ - 5 T J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinklec hok-law.com City,State,and ZIP Code Telephone Number E-mail IErSELLER(S)/GRANTOR(S)E77 r - T _ ,lames Tracy Nole a/k/a James T Note Judith A Nole Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 2363 W Columbia Estates 2363 W Colimbia Fstates Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c 7y plete as required by law,and is prepared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act". Jc ,� 1 �t4s a 9c �,, Dub_ Signatu'•Iler Signal reojSeller ,lames Tr Nole a/k/a.lamas T Nole 8/17/2018 Judith A Nole 8/17/2018 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date CMM/DD/YYVY) iF BUYER(S)%GRANTEE(S)CAEP,LIMICONiEQR^P.RQPERTY/TAX<DEDUCTIONS74IDENT4EY 7A3L,ITEMS`TH`e1TAPP,LY'` r Claudia A. Eisenmann Buyer 1.Name as appears on conveyance document Buyer 2-Name as appears an conveyance document 10627 FM 433 W. Address(Number and Street) Address(Number and Street) Vernon,TX 76384 PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 7364 W Columbia Estates 5.Wind Power Device Address(Number and Street) ❑ 17) 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ ) 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2. Does the buyer have a homestead in Indiana to be El 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. q Not available in all counties.) Address(Number and Street) /lo-117- '4 -102_-000 .9•0S---022- Claudia A. Eisenmann City,State ZIP Code County Primary property owner contact name E-mail a