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Homestead_Fritz
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 219 N. Hart St., PO Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 E-mail E.SELLER(S)/GRANTOR(S) Amher R.Seaton Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 707 E Walnut Street Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 _ - cavSlate,and ZIP Code City,State,and ZIP Code - E-mail Telephone Number 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 mplete a re uired by law,and is prepared in accordance with IC 6-1.1.5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Arnher R Seaton 6/24/2019 Printed Name of Seller Sian Date PMM/DD/YYYYI Printed Name of Seller St ate(MA fa F.BUYER(S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALUM 7 IA Pal. (Mark E. Fritz toyer-r-name as appears on conveyance document Buyer 2-Name as appears on conveyance�t> C 2019 2642 E.SR 64 tin ,trterp D i/ Address(Number and Street) Address(Number and Street) Princeton, IN 47670 �l Ion, lt�-iRl.l7� City,State,and ZIP Code City,State,and ZIP Code GIBSON COUNTY AUDITOR E-mail Telephone Number E-mail 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 NOCONDITIl1A-----._ 0 ❑ 1.Will this property be the buyer's primary <f/ RF1'R3��. Homestead M residence? Provide complete address of prima ❑ © 4.Solar Energy Heating/Cooling System residence,including county: E Walnut Street ❑ 0707 5.Wind Power Device Address(Number and Street) Li o 6. Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Li0 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 ❑ o 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) //� Mark E. Fri Jyp -/9" is- Joy - S' oOj562 -satO City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number