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Homestead_Rainbolt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 DiPREPARER J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart St. Hall,Partenheimer&Kinkle Address(Number and Street) Company Princeton,IN 47670 812-386-0050 Irkinkle(thhok-law.com City,State,and ZIP Code Telephone Humber f.mall E.SELLERS)/GRANTOR(S) Chndns I Woodruff Terri L Woodniff Seller 1-Name as appears an conveyance document Seiler2-Name as appears an conveyance document 2180 SW While Church Rd 2180 SW White Church Rd Address Plumber and Strut) Address(Number and Street) Princeton Und pe .[ties of per)u ilcireby certifyat this Sales Disclosure,to the best of my knowledge and belief,Is true,correct _etc as r . ••;and I prered in accordance Ith1.5.5,jOerty Sales Disclosure Act'. f••••� er v Signature of Seiler Chades L Woodruff o2/tO/24 r.) Terri L Woodruff 2//m/20/r Printed Name of Seller Shan Dote Ntt/Dp err, Printed Nome of Seller Sian Date(MM/D0/7Yl) F.-BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS::IDENTIFY ALL ITEMS THAT APPLY. • .. „ - Daniel S.Rainbolt Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 205 N Embree Street Address(Number end Street) Address(Number and Street) Princeton,IN 47670 ! �'�• THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION F-EB 1 1 2015 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coolj Syst residence,including county: X/plQrtl ❑ 23 S.Wind Power DevigN COUNTY AUDITOR Address(Number and Street) ❑ 0 6.Hydroelectric Power I ev1Ot8 ❑ 0 7.Geothermal Energy Heating/Cooling Device Ocr,Score ZIP Code County ❑ ❑ 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. Not available in all counties) Address(Number and Smear) a / - l I _I !"1- /)D4- t93. `� 11 -htQ? City,State ZIP Code County �lrYv Il (_7/� L•�J !V' �lF1�l J l vim(, Primary propertyowner contact name E-mall