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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
e
J. Robert Kinkfe Attorney "
Preparerofthe Sales Disclosure Form Title
219 N. Hart St.. PO Box 13 Hall. Partenheimer & Kinkfe
Addr (Number and Street)
Email
E. SELLERS GRANTOR S
Harrod Development I I C
Seller 1- Name as appears on conveyance document
600 F Strain Street
Seller-2 Nameasappearsouconeeyancedocument
Address (Number and Street)
Fort Branch IN 47648
Addres(Numberand Street)
Telephone Number Email
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete a r wreTbYC I)aw, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
Signature of Seller v Signature of Seller
Z 2-0 1 O
Punted "' tea Seller i nDate u /OD/enY1 Printed Name of Seller Sian Date Lmu /DD
F E S - APPLICATION FOR PROPERTY TAX D - ALL ITEMS THAT APPLY
Randy L. Lou h
I Alison M. Lough
Buyer 2 -A'ame as up on comevm udocument
Bwerl-Nameas�mveyancedacumen[
226 W. Morton Street
226 W. Morton Street
Address (Number and Street)
Address (Number ad Street)
City, IN 47660
Oakland City. IN 47660
®Oakland
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR IS PR '.IDENTIFYALL OF THOSE THAT fn
NO CONDITION 1 I'ES NO CONDITION
Q ❑ 1. Will this property be the buyer's primary I
Q ❑ 3. Homestead
residence? Provide complete address of prin
. Solar Energy Heating /Cooling System
residence, including county:
❑ Q S. Wind Power Device
'i44 S 1225E
❑ Q 6. Hydroelectric Power Device
Address (Number and Street)
Oakland City, IN 47660 Gibson
❑ Q 7. Geothermal Energy Heating /Cooling Device
8. Is this property a residential rental property?
Ciry, State ZIP Code County
Q ❑ 2. Does the buyer have a homestead in Indiana to be
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.
226 W. Morton Street
Not available in.all counties.)
0016
Address r and Street)
Oakland City, IN 47660 Gibson
(001;691—
imn ouF
City, State ZIPCade County
Pdmary property owner contact name E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being filed)qq//
sig lure of Buyer' Z /C Ignainre of Say er2 /Spouse
nndy I_I nu¢h� I < Alison M Lough ✓ ' �`' �`�