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Homestead_Gentry (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ?D PREPARER- _- __ ':' ' d = J. Robert Kinkle Attorney - Preparer of the Sales DIsclasure Form Title ocn H art St., PO Box 13 Hall, Partenheimer& Kinkle (Number and Sweet) Company eton, IN 47670 812-386-0050 City,State,and ZIP Code Telephone Number E-mail $tSELT R(SGRANTOR(S)! — . .�__ .-_. ILL.._- - —i- .1 � al s.-.r .. — r a � .-� CI Michael Dunn Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1336 N 100 E Address(Number and Street) Address(Number and Street) Princeton IN 47670 Telephone Number E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complet s req d bylaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". gnature of Seller Signature of Seller Michael D Dunn 04/ / 13 Printed Name ofSeller Sign Date(MM/DD/rim!) Printed Name of Seller Sian Date(M.M/00/YYYY) ;E:,BUYER(S)T/.GRANTEE(S) APPLICATIONW,,OR=PROPERT_YLTAX(DEDU.CTIONS IDENTIFY_AL'LkITEMS_THATI P:EYI Christopher P.Gentry Amanda J.White Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 518$. Hall Street 518 S. Hall Street _ Address(Number and Street) Address(Number and Street) 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 E ❑ 1.Will this property be the buyer's primary 10 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ n 5.Wind Power Device 1336 N 100 E Address(Number and Street) ❑ z 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ j 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County VI ❑ 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 ❑ 12I 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. 518 S. Hari Street Not available in din all Count es.)�// /J //� Address(Number and Street) �G-/C2-QadCN-09 /'Yd 7- DOI / Princeton, IN 47670 Gibson Christopher P.Gentry&Amanda J.White City,State ZIP Code County _-- Primary property owner contact 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 nu r hers are not necessary if no Homestead Deduction is being filed.) r _ < J I�L.I_ �_ re of Bu erl Signature of Buyer2/Spouse Christopher P Gentry 04/ /t12013 Amanda J White 04/-19013 �\