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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
�D. PREPARER
Dana McBride Closer
Preparer of the Saes Disclosure Form Title
IS06 Main Street The Title Co.
Address(Number and Street) Company
Jasper IN 47546
City, StaM and ZIP Code Telephone Number E -mail
E. SELLERS GRANTOR S
Matthew J. Kramer
Seller l - Name as appears on conveyance document
Seller - Name as appears on conveyance document
2719 S, IZy05.
Addrm(Numberand Street)
Address (NumberandStreet)
�PrKGAyJD r I TY. JV
City,
E -mail
Telephone Number E -mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co{, p4k_ lete as requi i d by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act'.
,e,
Signaaatrr- I SignatureofSd/er
Matthew.) Kramer 10 -19 -11
Printed Name o Seller Sign Data (MMIDDIYYM Prin ted Name o Seller Sian Date (MMIDDIYYM
F. BUYER(S)/GRANTEE(S) - APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY AL1ITEMSTHAT.APP.LY.
Roy Kenneth Tincher II
uyerl -Name as ap earson conveyancedocument
Buyer 2- Name as appears on conveyance document
Addy s(Number� Wands
Address(Numberand Street)
llo((
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 I YES NO CONDITION
❑ 1. Will this property be the buyer's primary
❑ 3. Homestead
residence? Provide complete address of primary
❑ 1:1/4. Solar Energy Heating /Cooling System
resideoce, including county:
F-1 5. Wind Power Device
'Ani f Q S � �/
❑ E],/6. Hydroelectric Power Device
Address(NumbrlandStreet)
&/AorK
❑ ❑Y7. Geothermal Energy Heating /Cooling Device
^ / sidentlal rental property?
❑ [D" 8. Is this property a re
City, State ZIP a County
❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ D--9. Would you like to receive tau 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.
Not available in all counties.)
Address (Number and Street)
Ciry, Smm ZIPCOde County
Primary propertyowner concoct name 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 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 [91ed.)
K
l SignatureofBuyer2 /Spouse
Slqn�n eofgaye
� K nneth r II 10 -19 -11
Tin h
�
Number Last 5 digits ofBuyer2 /Spouse Driver's State Last S Digits of Social Security
License /ID /Other Number Number LicenseflD /Other Number