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Homestead_Miley (6)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:PREPARERa;n: r - . J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St. Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkle @hpk-law.com - City.State and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) -- . . Joanna Maikranz Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document _6)21 E.650 S. Address(Number and Street) Address(Number and Street) Ft Branch IN 47648 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 r uired by la and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". . 314 YVV 1t) }v q' tgna re of Seller j Signature of Seller Jnan aMaikranz l 912 :J/r)J0l -.- Printed Name of Seller Sian Date IiiM/DD/rv1Y1 Printed Nome of Seller Sian Date(MM/DD/YYM F:BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY ALL ITEMS THAT APPLY - -- - Robert E Miley Dana L. Miley Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 406 N. Hull Street 406 N. Hull Street Address(Number and Street) Address(Number and Street) Ft.Branch, IN 47648 Ft. Branch,IN 47648 THE SALE DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I 15 /O "40'131710N❑ 1.Will this property be the buyer's primary `v// ...Homestead residence? Provide complete address of primary e❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device 2068 N Cari[hers Road Address(Number and Street) ❑ 171 6. Hydroelectric Power Device Prin ton,IN 47670 ❑ 7.Geothermal Energy Heating/Cooling Device City tate ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 12 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 Street) h ao —D aiUoo-cam PA-001 City,State ZIP Code County Primary property owner contact name E-mail