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Homestead_Hale (6) INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1808017 Paget D.PREPARER . Britany N Barnes Searcher Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title Inc Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 britany.bti @mw.twcbc.com City}.State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) ' Jack Elvis Hale Jerry Everett Hale Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7774 E.300 S 4646 S.Alvin Rd. Address(Number and Street) Address(Number and Street) Oakland City,IN 47660- Mikado,MI 48745- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 6 o-cA �- v Aik—e d v�v��fa Qa l, /c Signaturtof5<Ber 01,2,„,d Ssgna of Seller O 47/ac /f G«rS Hatt 6rl it rp cft� .�y�RE7T • /S Gi-rrd Ma"ar(ea., elrr.nnre t.•wnn'YYrn Prin■p N, " g � ! 'yyyy, F.BUYER(S)GRRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMFA�AgPLY I�1 Kerry B.Hale Karen S Hale �� I I Buyer I-Name as appears on conveyance document' Buyer 2-Name as appears on conveyance document 1 903 S.Hall St 903 S.Hall St. !UN 1 6 2015 Address(Number and Street) Address(Number and Street) Princeton,IN 47670- 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 i es°'ato © El 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ El 903 S.HALL ST. 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ fl 2.Does the buyer have a homestead in Indiana to be ❑ © B.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. •. ... .. a ties) Address(Number and Street) Ado -hi -19 - mg - ooi. o,S7 'at : City,State ZIP Code Cou • y -nmary p'.• ontact name E'm II