Homestead_Pohl (14) INDIANA SALES DISCLOSURE FORM SDF ID: Page-Z
J.Robert Kinkle Attorney
Pieyarer of NH Sales Disclosure Form Title
219 N. Hart_St_r_eet Partenheimer, Kinkle&Ricker
Address(Number end Street) Company
Princeton, IN 47670
E-mail
E.SELLER(S)GRANTOR(S] - _ __ -
RobedA.Richard Connie S Richard
Seller I-Name as appear,on conveyance document Seller 2-Nome as appears on conveyance don:r�e Ny�N
5938 W 800 S 5938 W 800 S �j
Address(Number and Street) Address(Number and Street) 1Ky
Owpnsvilln IN 47515 Owensville IN 47665 (, 11°
City,State,and ZIP Code City State,and ZIP Code A�G1 -
/
—vat. t i-•f. .
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge ar te.%isl Ik a correct
and complete as required by law,and is prepared in accordance with IG 6.1.1-5.5,"R Prope Ensclosure Act".
Signature of Seller 6/ /J Signature of Seller
Robert A Richard t//(`- _//f/ Connie S Richard - z/ /9
Printed Name of Seller Sian Date(AO H/00/1Yr1) Printed Name of Seller Sign DatefMM/DD/YnT) .
/F. ' TIO ' - P ALL ITEMS THAT APPLY .,.
C Ad h _. _ _ Courtney I.. Pohl -
,1�Name as appears on conveyance document Buyer 2-Name as appears on ramie edocument
8951 S SR 57 "
Address(Number and Street) Address(Number and Street)
Elberfeld. IN 47613 Fiberfeld IN 47613
E-mail
THE SALES DI CLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY AI L OF THOSE THAT APPLY.
YES _ 0 CONDITION I Y NO CONDITION
0 1.Will this property be the buyer's primary ❑ 0 3.Homestead •
residence? Provide complete address of primary SIM -- y Sularintrrprtrearmg7CoolingSystem .
Sg 3e � g
residence including county: 0 ❑
( 3D S 5.Wind Power Device
Address(Number an�Streey e� C.
LS 0 Q 6.Hydroelectric Power Device
S„YI �e 0 Q 7.Geothermal Energy Heating/Cooling Device
co:,., ti ZIP Code I County
ID2.Does the buyer have a homestead in Indiana to be 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 Q 9.Would you like to receive tax statethents for this
complete address of residence being vacated, property via e-mail?(Provide contact information
?�y1 pp including county: n below.Please see instructions for more information.
A S I c • S; . ke%3 S ') Not available in all counties.)
Adberryingu —,j 414 13 Gibson (XL -1 'g -1°I-zoo -0 o0 oo -o2l
aty",State ZIP Co County
Primary property owner con tart name E-mail
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