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Homestead_Hering INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 REPARER < ,'��...� '' =�T-•—.77;. •"7". rr.c 3r Tr- :AY . - J. Robert Kinkle Attorney Preparer of the Sales Disclosure Farm Title 219 N. Hart St., PO Box 13 Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 City,State,and ZIP Code Telephone Number E-mail LE SEL'LER(S1/.GRAANTOR(S) 7=7 - G a s ;71 s s _ '• :71.77:77 Shelly I Robbins Seller l Name as appears on conveyance document Seller 1-Nome as a ears on conveyance eyancedxumen[ 1257 F 150 S Address(Number and Street) Address(Number and Street) Princeton IN 47670 Telephone Number 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 b law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". /' Signature of Seller '!K'ly�•�""' — Signature of Seller Shelly I Robbins )4' y "/%—/' Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sian Date(MM/DD/YYY1'I t87,BUYER(S)/GRANITEE(S)aAPP,CICATION OR?PROP,ERTYLTAVDEDUCTIONS IDEWIFNAI LHITEMSiTHAT(TAPPLYri w=7 - `y_ Richard A. Hering Melissa D. Hering Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 331 S. Mulberry St. 331 S. Mulberry St. Address(Number and Street) Address(Number and Street) Mt. Carmel, IL 62863 Mt. Carmel, IL 62863 Telephone Number Email 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 Q ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: 1 257 E 150 S ❑ 12 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton,IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ( 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. Not available in all counties.) Address(Number and Str- 6' • " O-.- ��'0%1E5 6• W(� -ichard A.Hering&Melissa D.Hering City,State ZIP Code Cou,• Primary property owner contatt 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 f-d.) gJIA�� Q�L. V Signature of Buyer! / Signature of Buyer2/Spouse _