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Homestead_Tichenor • INDIANA SALES DISCLOSURE FORM SDF ID: Pa•e 2 fig' ':.Gte'-T 'e :vA' .w+ ` e- r.;?`r� ... . 'fdi._."t,+`Aa'+ _%.._.. g'�"''�-' t . ...•�--��.�� mss:=' ', 'v '= Maurice Doll, Attorney at Law#4554-42 Reparer of dee Sala Disdosure Form Title P.O.Box 703 Morrie Doll 8 Associates,Ilc Addreas(Number and Street) Company Newburgh,IN 47629-0703 812-858-5200 morriedoll(dhotmail.com Ciry,State,and DP Code Telephone Number E-mail Alisha AlvnTichenor Seller I-Name as appears on conveyance document Seiler 2-Name as a rs on conveyance eyanw dtcumen[ c/o Matthew Nixon 223 West State Street 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 by law,and is prepared in accordance with IC 6-1.1.5.5,"Real Property Sales Disclosure Act". y �1 d/ / Signature of Seller J Signature of Seller Alisha Atvn Tichenor /311/2014 Punted Name of Seiler Sign Date NN/DD Printed Name Veer Sign Date(01/Do/m1) rr a tt'Fib'". . -n Nltax' ,G.-3tP el°4:Si -5 Bg1 .' �F' APcYF3R-�i1 Darrin James Tichenor Bayer 1-Name as appears on conveyance document Buyer 2-Name as appean on conveyance document 3347 W 200$ Address(Number and Street) Address(Number and Street) Princeton,IN 47670 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. YTS NO CONDTTTON YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homest Provide complete address of primary ❑ © 4.Solar Ene@ H ' g/C 1 T residence,including county: ❑ '.�• 3•i47 W 200 S 5.Wind Po D Addres(Number and Street) ❑❑ 0 6.Hydroelectric r,AQvit6,I g Princeton, IN 47670 Gibson 7.Geothermal E 4 Ting �Yoolin Device Ciry,State ZIP Code County ❑ 0 8.Is this prope a reside.tia t -property? ❑ 0 2.Does the buyer have a homestead in Indiana to be i vacated for this residence? If yes,provide ❑ 0 9.Would you li 7,..g. :,iDi t1t 4.tatements for this complete address of residence being vacated, propetlitaoct 8.gdbtkTQRformation including county: below.Please see instructions for more information. Not available/inMall counties.) 9141 /r�}r��J Address(Number and Street) ( �^ I\-n 3w-�4• -c Ciry,State LP Code County �f VVVVVV Primary property owner contact name E-mail ." ..AA SALES DISCLOSURE FORM SDF ID: Page 2 . tEPARER — .n _ 1, ..;:c:9.T a s.-_ -ti , Maurice Doll Attorney at Law Preparer of the Sales Disclosure Form Title P.O. Box 703 Doll 8 Sievers Attorneys at Law LLC Address(Number and Street) Company Newburgh, IN 47629-0703 (812)858-5200 morriedoll @hotmail.com Ciry.State and ZIP Code Telephone Number E-mail :E:SELLERS)%GRANTOR(S)_: ' ;'`'" r °_ Alikha Alyn Tichenor Darrin James Tichenor Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document c/o McDonald I aw Office. 120 S Main Street 3347 W 200 South Address(Number and Street) Address(Number and Street) Princeton IN 47670 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct at�d complete as required�by law,and is prepared in accordance wit C 6-1.1-5.5,"Real Prope Sales Disclosure Act", E7r/ /tF'c • 7r i -/ — / l(L?r1-W1., V/ /M,�J /../dti.P -v Signature of Seller Signature of Seller A6sha Alyn tichenor 03/13/2015 Darrin James Tichenor 03/13/2015 Printed Name of Seller Sion Date(MM/DDM'h) Printed Name of Seller -- - - - - - Sign Date(MN/DD/YYYI) F}BUYER(S)/GRANTEE(S) APPLICATION EOR,PROPERTYTAX)DEDUCfIONS IDENTIFY ALL ITEMS THAT'APPLY , ;, :,.;-_' - Darrin James Tichenor Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doc 3347 s(200 South Address(Number and Street) Address(Number and Street) 4: YES NO CONDITION I YES NO CONDITION •41/4 T3 70: Q ❑ 1.Will this property be the buyer's primary �W 3.Homestead Afti, residence? Provide complete address of primary TO residence,including county: ❑ © 4.Solar Energy Heating/Cooling System 3347 W 200 South ❑ LA 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN 47670 Gibson City, ZIP Code County ❑ 7.Geothermal Energy Heating/Cooling Device ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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) City,State ZIP Code Number License/ID/Other Number •