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Homestead_White (10) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - -. - 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 irkinkle gt7hpk-law-com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) •- - • Debbie Ann White Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2317 Verona Court Address(Number and Street) Address(Number and Street) Evansville, IN 47725 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and 6 I: e as re• ired by 1,vv,_: d i prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /mutt A-1, to 'fracture of Seller Signature of Seller Debbie Ann White /07 .97.0/ Printed Name of Seller Sion Date(MM/DD/YYYY) Printed Name of Seller at et DAI Y) F.BUYERS GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE TH Jeffrey Joseph White ((llEC 16 q ,7 uuyv,l N......+.+pPe+.ro�,. veyance document Buyer?-Name as appears on conveyance documelrl 2014 1817 W.Cambridge PI. Address(Number and Street) Address(Number and Street) Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES_ Nn CONTIITIQN (7) ❑ 1.Will this property be the buyer's primary e" Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 19 S.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device • ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ IA 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 ❑ ❑ 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. Address(Number and Street) .9ke _ //y_roi —oo� 208-oa7 City,State ZIP Code County a ro E-mail