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Homestead_Cloin (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ! I D:PREPARER_. _ _ . . IL.-`___': _ . 1 Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 ( E-mail E SELLERJS)-GRANTOR(S, _'.- , v ` ';. _, Kenneth C Goldbach Robin A. Goldbach Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 179 Lake Inwood Drive 179 l ake Inwood Drive Address(Number and Street) Address(Number and Street) 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 complete as req ired by law,and is prepared in accordance withWq,, IC -5.5,`Real Pr perty Sales Disclosure Act". P C, .►�I/./ C—Signature of Seller ller Kenneth C. Goldba Ro:'4 A. Goldbach �//.5.-( Printed Named'S• • Sin MM/DD Y�Yri� Print-'Name a Seller Sign Date MM DD F (. S _ NTEE S_ APPLICATION;FOR PROPERTY TAX DEDUCTIO S. IDENTIFY ALL ITEMS'TH : L_ R __ Kristen S.Cloin Buyer I-Name as appears on conveyance document •r 2-Name as appears on Vals:,-.801 411 W.Glendale Street rI.%\Address(Number and Street) Address(Number and Street) 04 Princeton• IN 47670 yr City,State,and ZIP Code City,State,and ZIP Code ,--'O ( E-mail Tele hDnrer 1 �N �� E-mail THE SA P g 1•E FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS HIS PROPERTY. IDENTIFY ALL OF THOSE THAT .O YES NO CONDITION NO CONDITION G Z ❑ 1.Will this property be the buyer's prim 0 ❑ 3.Homestead residence? Provide complete addre of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 305 S. Stout Street ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ yj 6.Hydroelectric Power Device Princeton, IN 47670 Gibson eating/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 ❑ Z 9.Would you like to receive tax statements for this complete address of residence being vacated, act information including county: below.Please see instruction a in o on. Not available in all counties.) :T::::ndStr ) Qa- 001 County Primary propeope rty ownene r contact name E-mail Number License/ID/Other Number