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Homestead_Collins (17) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 NI.eREPARERZ_ "- - ,u" -- - 7-7- - - s`—--' _ ---- J.Robed Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street, PO Box 13 Hall,Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(a�hpk-law.com City,State,and ZIPCode Telephone Number E-mail c sELill:ER(S1/GRA oa(S)ry - '- 77: -- — -- Betty J Barrett by Billana K Hyneman Attorney-in-Fact William 0 Grubb Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 315 S Hudson Road 1543E 1025 S Address(Number and Street) Address(Number and Street) Patoka. IN 47666 Haubstadt IN 47639 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 1 6-1.1-5.5 al Pro erty S les Disclosure Act". il11htr. K llypem n R ■I).a. _./. Signature of Seller Signature of Seller Billana K Hyneman POA for Betty.1 Barrett (-.),q - 1)} William D Grubb A o?/p —l5/ Printed Name of Seller CSPn Date(xu/ooryYrn Printed Name of Seller SIVnDate IMM/DD/YYfY (P3 : T. ` '7NTEE(S)-`APPGIGi1TIbN'F,OR=PR0PE 1 TTA IDED - ii. f 1 "ALL,ITEMSITHAT'APP:I TT... Shawn Collins \Cynthia Collins — - --- --a p p e a r s on conveyance document - • „pears on conveyance document 305 N.Scoring Street _ _ 305 N.Spring Street Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton,IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P ROPE:•. .a • • I TIIAT APPLY. YES NO CONDITION 'ES NO CONDITION Q ❑ 1.Will this property be the buyer's primary M ❑ 3r lonieSteadO residence? Provide complete address of primary a © 4.Su • ` erg Hea ' o. ,.• . residence, including county: o5 /j see, (ryr- 57— ❑ 5.Wind Power v i, (i�randStree[u 1- 1v , -767/) / 6e o 1 ❑❑ Q 7. Geoth e coal o i g in/tabu r'f- 4U N 7.Geothermal Energy Heipg(ss lin Device City,State ZIPCode j County � UQ� ❑ 2.Does:thebuyer•havea•homestead in Indiana to be ❑ 12 8.Is this property a esld ntia rental property? vacated for this residence? If yes,provide ❑ ❑ 0rWouldyomlike.to ceive x is for this complete address of residence being vacated, property via e- tact information including county: below.Pleen-S00411341 7Gyfokidgbffelormatian. Not available in all counties.) Address(Number and Street) / City, County d6 '//'/�-0 _ 0109 �7_ ty Primary property owner contact name E-mail