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Homestead_Lewis (2) INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2 D.PREPARER - - _ _- - _ - - 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 irkinkleehpk-law.com City.State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - - • - - . .. - Tyler M Connor I oh A Connor Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 102 S Damosa Dr 102 S Damosa Dr Address(Number and Street) Address(Number and Street) Hauhstadt IN 47639 Haubstadt IN 47639 _ Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comp) s require y law,and is prepared in accordance with IC 6- 1-5.5,"'eal Property Sales Disclosure Act".� i /" -<« z J% II ✓/. ' a Sig of Seller tgna ure of Seller Tyler M Connor ,ct-�!/. /J 1 oh A Connor ���`eX/✓ Printed Name of Seller Stan Date WM DO/YYYY) Printed Name of Seller Sian Date 4M/00/IM1M1Yf •F.BUYER(S)/GRANTEE(S)=APPLICATION.FOR PROPERTY TAX DEDUCTIONS=;IDENTIFY ALL ITEMS THAT APPLY - - Timothy W. Lewis Elizabeth A. Lewis Buyer 1•Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1110E600S 11d0E600S �� Address(Number and Street) 110E(Number and Street) Ft. Branch. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY AMBF THO�$[F//f{�j_.1T APPLY." eo/5 YES NO CONDITION I YES NO CONDITION SON 't(:1i 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead CD(/�T residence? Provide complete address of primary ❑ © 4.Solar Energy HeatingyCq {ng System residence,including county: ? 102 S Damosa Dr ir? Address(Number and Street) ❑ z 6. Hydroelectric Power Device Haubstadt IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ Z 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. 1110E 600 S Not available in 11 counties.) Address(Number and Street) / Ft.Branch, IN 47648 Gibson eG„ /7 a_ oi- ori JOO _o0 9 Ciy,State ZIP Code County Primary property owner contact name E-mail