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Homestead_Hornick INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 J D:PREPARER. 7 - I"... . .,* J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer 8 Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 Irkini,e(ahhpk-law.com City,State,and ZIP Code Telephone Number f-mal E.SELLER(S)/GRANTOR(S) - ', Joyce A Allen Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance_-[amen[ 701 F Mulberry Address(Number and Street) Address(Number and Street) Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowiczlge and belief, is true,correct an mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Propc ty Sales Disclosure Act". ` natur of Seller Signature of Seller lore A Allen °� �- Printed Name of Seller Sian Date 001/00/1117) Printed Name of Seller Sian Date CHM/0o/Yrrn :F:.BUYER(S)/GRANTEE(S)=?AP.PLIGATIONIFOR PRORERTY TAX.DEDUCTIONS=IDENTIFY.ALL ITEM:.THAT:APPLY•9,-,t ± I _:„_!r. Keri J. Hornick Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance c•-ument 1512 Glendale Ave Address IN 4771 Street) Address(Number and Street)and Evansville, IN 47712 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TU:')y/�PLY. YES NO CONDITION I YES NO CONDITION GieRo ❑ ❑ 1 Will this ce?r Provide be thepbeteeaddress of primary 171 3.Homestead k `OU NTy{ AUUOIT pR ❑ 12 4.Solar Energy Hea:.:ng/Cooling System residence,including county: 701 E Mulberry ❑ IN S.Wind Power Det is e Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Ft. Branch, IN 47648 Gibson ❑ 7 7.Geothermal Eneri Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.[s this property a,esidential rental property? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like tc receive tax statements for this complete address of residence being vacated, property via e-mari?(Provide contact information including county: below. Please see i:�ttructions for more information. Not available in all:aunties.) Address(Number and Street) City.Scare vrC de County 24/9-i 9-10Q - 660 00 S' o a b Primary property owner contact name E-mail