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INDIANA SALES DISCLOSUREFORM SDFID: Pa e2
�D.PREPARER
J. Robert Kinkle Attornev
Reparero(NeSa/a Di+clesvre Femi Titfe
PO Box 73 219 N. Hart St. Hall. Partenheimer 8 Knkle
Addr¢r(Nvm6rrandStreet) Compaq
Pnnceton IN 47670
Email
"E: SELLER S GRANTOR S �
Rocpmary Harbicon
Shcu 1- Name vs opOWrs om m�vgvnte documrnt Shcv 2� Nome as apprars w mm�ryvnae dorument
427 �T/ i�ili�hPrtY S�IP.P�
Addras(A'umWiandStreetJ .iddrcv(ltvmberand5veetJ
Prin .Pinn IN 47670
E-moil Tde haneNvinbe E�moil
Under penal[ies of perjury, t hereby cer[ify that [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act".
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RinWNameo frlkr S' nP�re Mu n AintMNameof5elln Si nDate mw 0
cF:� GRANTEE � �4PPUCAT19�1fORPROPERTYTAXDEDUCTI0N5-[DENTIFYALLITEMSTHATAPPLY
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1-NOmrma nveyvntedo[�mmt BvyeiZ-Nameasoppmrswmnveyoncrdo�vmmt
� 7811AS�MainStreet
Addras(kum.bcandSbrecJ Addr�(NUm6oand5�reen)
Princeton IN 47670
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Tde honeNumber E-mail Tde honeNumber E-mail
THE SALES DISCLOSUAE FORN MAV 9E USED TO APPLY FOR CQtTAI\ UtUUR10Y5 F00. THIS PROPERTY. IDFMIFY ALL OF iHOSE THAT APPLY.
YES NO CONOITIOd I YES NO CONDRIO\
Q � 1. Will this property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of primary � Q 4. Solar Energy Heaung/Cooling System
residence, including county:
511 W Pinkney,Street ❑ ❑� S. Wind Power Devire
Addras(h'umbnmdStreet) ❑ ❑� 6. Hydroclectric Power Device
Princeton IN 47670 Gibson � Q 7. Geothermal Energy Headng/Cooling Device
Ciry, Smre ZIPCode Counry
� Q 2. Does the buyer have a homestead in Indiana to be � ❑� 8. Is this property a residential renial property?
vacated for this residence? IFyes, provide ❑ ❑� 9• N'ould you like to rereive [ax statements for this
mmplete address of residence being vaca[ed, property via e-mail? (Provide contact informanon
induding county: below. Please see instructionsformore information.
No[ available in all counties.) p
Addrm (NumMrandSo-eetJ ��� �... p �_ 3 03 . o o/. 0 7 3� � a" o
Melanie R. Swtes
Clry, Statt LP Cade [oun.y
Pnmorypmpertyownerror,maname E�mail
Under penalties of perjury, f hereby certify tha[ [his Sales Disdosure, to the best of my knowledge and belief, is We, torret[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (�o[e:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
beingfile ) �
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Signa ofBvynl ./ � SignoyreofBuyer2/Spouse
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