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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
219 N. Hart Street, PO Box 13 Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 jrkinkle @hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
'tE:SELGER(S)/GRANTOR(S)= — x
Larry E. Hedge
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
402 W. Grave Street
Address(Number and Street) Address(Number and Street)
Patoka, IN 47666
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cg�glppleett�eas required by law,jand�is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature a(Set. �/ Signature of Seller
Larry E. Hedge 03/11 /2015
Printed Name of Seller Sian Date(MM/DD/YYIY) Printed Name of Seller Sian Date IMM/DD/YYYYI
(F-.BUYER(SATANTEE(S)' APPLICATIONFOR'•PROPERTY.,TAX,DEDUCTIONS=IDENTIEVALLITEMS;THATAPPLY.__ _ -_
Richard E. Hedge
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
402 W. Grave Street
Address(Number and Street) Address(Number and Street)
Patoka, IN 4766
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TFt .�
YES NO CONDITION YES NO CONDITION
12 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ IS 4.Solar Energy Heating rli(lgpM
residence,including county: ❑
IS 5.Wind Power Device
Address(Number and Street) ❑ 12 6. Hydroelectric Power i• ice A.
./
�l. ��[i/OII�I�nr 1]�
Ciry,Smte ZIPCade county ❑ Ca 7.Geothermal E�p J' iem tImRsi evR
El IN 2.Does the buyer have a homestead in Indiana to be El IN 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ IN 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 County 9 -O -a S- (oi - 000 - 03,a-co
Primary property owner contact name E-mail