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Homestead_Dersch Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER J . . ' -'-, ' .'+'' . ,-• r. --: J.Robert Kinkle Attorney Preparer of the Sales Disclosure Farm Tide 219 N Hart St Hall, Partenheimer&Kinkle _ Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(dhpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . - "'a'.: ' r7'1- - 7 .' ''','''111.°7. Seller I KPrmndP nee I Seller]-Name as appears on conveyance document Seller 2-Name atapprors an cony rice dim't 1060 E 150 S Address(Number and Street) Address(Number and Street) FEB 2 7 2014 Princeton IN 47670 Telephone Number GIDSON COUNTY t1 1piluH 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, prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature ofSel (/ Signature of Seller Gregory L Kennode (/ `/7�/ Printed Name of Seller �' Sign te(M /DD(Yrrt') Printed Name of Seller Sion Date(MM/DD/YYrv( F.BUYER(S)/GRANTEE(S)°--':APPLICATION FOR PROPERTY TAX DEDUCTIONS'-IDENTIFY,ALL ITEMS THAT APPLY,* . ..-.,t", '" enry Deitch Jr. - e . D-L. mem appears on conveyance document rs on conveyance document 1216 McKinley Ave. 1216 McKinley Ave. 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. VES 0 CONDITION � � ❑ 1.Will this property be the buyer's primary LIJ. ❑ 3.Homestead residence? Provide complete address of primary . nergy Heating/Cooling System _ residence,including county: ❑ !0 1p 0 t /5 0 3 5.Wind Power Device Address(Number and Street) A ❑ 0 6.Hydroelectric Power Device PRINCE 1 b^', + 6 iJ 47107o 1135 0 ❑ 2 7.Geothermal Energy Heating/Cooling Device City,Sr ZIP Code County [ ❑ 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 ❑ Would you like to receive talc 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. lot(G Alit—/` /vL� •Yris • Not available in all counties.) Addr Number and Street) ellit/crn ', /A' 1-f7G7d- a6 -/x- /7 - coo- ° 0tY- ( /v -o.t7 ity,Stare ZIP Code County Primary property owner contact name E-mail