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Homestead_Kissel INDL4NA SALES DISCLOSURE FORM SDF ID SDO ID 1812869 Paget D.PREPARER: - Jacob Weis Attorney Preparer of the Sales Disclosure Form Title 17 W.Main Street P.O.Box 430 Bender Law,LLC Address(Number and Street) Company Poseyville,IN 47633-0430 812-874-3636 jacob@benderiaw.biz Cary,State,and ZIP Code Telephone Number E-mail E.SELLERwGRANTOR(S�- _-- - -- - April D Kissel Estate of Victor R.Paul Seller 1-Name as appears an conveyance document Setler2-Name as appears on conveyance document 8297 S 1100 W Address(Number and Street) Address(Number and Street) Owensville,IN 47665- Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and¢ommple eq(lire law,an is repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". A-6 ) Signatvre of Seller Signature of Seller Apr I D. Kissel, Executrix of Victor R. Paul Estate 08/06/2015 R:",.ANnm.nt GO.. Von rMrorvu MA.111,11 i p--'.dl.,",".nrc.IL. ca-.OMntvumnmW, F.BUYER(S)/GRANTEE(S)=APPLICATION FORPROPERTY TAX,DEDUCTIONS-.IDENTIFY ALLITENIS THAT APPLY April D Kissel Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document 8297 S 1100 W Address(Number and Street) Address(Number and Street) Owensville,IN 47665- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT A PLY(` I 1 2015 YES NO CONDITION I YES NO CONDITION Ul7 © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heatinl' residence,including county: 5.Wind Power ❑ © ���1SP N COUNTY AUDITOR 8297 S 1100 W Address(Number and Street) ❑ © 6.Hydroelectric Power Device Owensville,IN 47665 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City State ZIP Code County ❑ ❑ 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. Not available in all counties.) Address(Number and Street) a�- I 'l-30-3tb -Dpo. 0249-Dad City,State ZIP Code County Primap'property owner contact name E-mail