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Homestead_Thomason
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER _ J.Robert Kinkle Attorney Preporer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkle(@hpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)JGRANTOR(S)- — '-‘11'...`-.- _ . . -. �,,.' • __,. _- - . .- -. -_- -. Barham A Burns Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 2657 Saragoza Dr Address(Number and Street) Address(Number and Street) Evansville IN 47715 Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an Ixomplete as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". S__1 S■ -. A• a At a Signature of Seller Signature of Seller Barbara A Burns g-2(o- LS Printed Name o/Seller Sian Date(MM/UU/YYYY) Printed Name o(Seller Sign Date(101/0011157) IF.BUYER(S)/GRANTEE(S).-APPLICATION.FOR PROPERTY TAX DEDUCTIONSr-.IDENTIFY ALL.ITEMS THAT APPLY . , _ Benjamin E.Thomason Buyer l-Name as appears on conveyance document Buyer 2-Name or appears on conveyance docume r 778 CR 1040 N 8 I Address(Number and Street) Address(Number and Street) '4--- . et Albion, IL 62806 406 . - p THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TWA" YES NO CONDITION I YES NO CONDITION �UNTy r IZ ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead 10,., residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System k residence,including county: ❑ Ed 5.Wind Power Device Address(Number and Street) ❑ M 6. Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s 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) f ‘Co.- 1a -1 $-163 Oct ct-1 I -oa ' City,State ZIP Code County Primary property owner contact name E-mail