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Homestead_Ortiz (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D, PREPARER . .�` gF _._... a�.. _. ...� ,... . ._ a,_,f v .,�i.__ . . ... _ 1 .. Roman Ricker Partner Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, Indiana 47670 E-mail E SELLERS,r GRANTOR S ' i` L Marilouise Sinkhorn Marilouise Sinkhorn Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2111 F Lake Road 2111 E Lake Road Address(Number and Street) Address(Number and Street) Princeton, Indiana 47670 Princeton, Indiana 47670 City,State,and ZIP Code E-mail Under ,enalties of perjury, ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c ,I lete as requ' d law a is prepared in accordance with I 1.1-5.5,"Real Property Sales Disclosure Act". )( 4 , ' Y a. A,44,,,,,k, Sign,'ure of Seller Signature of Seller Marilo ise Sinkhorn by David L Sinkhorn, POA 8/14/2020 Marilouise Sinkhorn by Lisa A. Sinkhorn. POA 8/14/2020 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F;a1- ER(S,)/,GRANTEE(S)_ APPLICAT,ION"FORPROPEIZT TIMMr,UCT.LONS II)ENTIFYALL.ITEMS THATAPPLY = .__ . _ . ;;-" Ernesto Ortiz _ Rosa Ortiz Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1905 Taylor Avenue 1905 Taylor Avenue Address(Number and Street) Address(Number and Street) 4 4 Princeton, Indiana 47670 Princeton, Indiana 47670 J ,rij lir y City,State,and ZIP Code City,State,and ZIP Code 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 YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.HomestelIawA4134- BSON COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 2111 E. Lake Road ❑ 2 5.Wind Power Device Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Princeton, Indiana 47670 Gibson ❑ Z 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 ❑ ❑ 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. 1905 Taylor Avenue Not available in all counties.) Address(Number and Street) Princeton, Indiana 47670 Gibson "7-6- (2-p 4-4 o 2 r O 02,6 I i^ 0 2g City,State ZIP Code County • Primary property owner contact name E-mail