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Homestead_Diel
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 rcty . 17a1'� s_.•:F-�__.: ??.. .a_ � 1, __. _ 's _-- – 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 jrkinkleehpk-law.com Ciry.State,and ZIP Code Telephone Number E-mail E:SELLERS)/GRANTOR(S) . `v Doris V McKinney Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4956 S 700 W Address(Number and Street) Address(Number and Street) Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,an 's prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (./- t41t (�] .f.-Pt,ee-. /12 5;;;41f.1 Signature of Seller Signature of Seller Doris V McKinney by Cameron McKinney POA Printed Name of Seller Sian Date(MM/UD/YYYYI Printed Name of Seller Sign Date IMM/DU/YYYYI F.BUYER(S)/GRANTEE(S)icAPPLICATION.FORPROPERTYTAX.DEDUCTIONS-IDENTIEY,ALLtITEMSTHATAPPLY:_1 - James C. Diel Sherry J. Diel Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 17709E 500 Rd 17709E 500 Rd - Address(Number and Street) Address(Number and Sweet) Mt.Carmel, IL 62863 Mt. Carmel, IL 62863 - THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary 111 3.Homestead FILED residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: JUL 2 9 2015 ❑ o 3956 S 700 W 5.Wind Power Device Address(Numberand Street) ❑ I7 6.Hydroelectric Power De ice Owensville, IN 47665 Gibson ❑ IZ 7.Geothermal Energy H ,; •1 ev ci e City..State ZIPCode County / yr 111'�r ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this propert���? I�f a^IItAtRai tw9n?t 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. cg 0- ID 3(- cot 1421-Oavo(available in all counties.) Address(Number and Street) {/� /� /`(�\ s County • !� \�`/ �/ '�J ( 4� City State ZIP Code Primary property owner co ct name E-mail