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Homestead_Gladish (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 .D.PREPARER.: - .. -_ -- _ - - - 1 - - ---- _ - J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart St Hall, Partenheimer 8 Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle @hpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)%GRANTOR( ) Rayhtevn K Taylor Jackie I Taylor Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1148S150W 1148S350W Address(Number and Street) Address(Number and Street) Princeton IN 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 requir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real P rty es Disclosure Act". -gnatnr of Seller ! igna•: e of Seller Raybourn K.Taylor - - Printed Name of Seller Sian Date(MM/DD/YYY11 Pring•,one of Seller Skin Date 1MM/DDIYM1 F.BUYER(S)(GRANTEE(S):=APPLICATION FOR PROPERTY TAX DEDUCTIONS==IDENTIFY.ALLITEMS THAT-APPLYc.._ - ' ' Jason R. Gladish Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on yaa Lee®®e umeasD 1147 5 250 W Address(Number and Street) Address(Number and Street) °� Princeton,IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY: L OF T ITS NO CONDITION ES Ns •,'• s, s • NTY AURtTOR 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary Li © 4.Solar Energy Heating/Cooling System residence,including county: ❑ r4 5.Wind Power Device Address(,Number and Street) ❑ 0 6. Hydroelectric Power Device ❑ z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ El 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. Rip- available in all counties.) , r Address(Number and Street) Rip- I I 1 S- 3 to Zc(/a Y- Z3 (o -O --) City,State ZIP Code County Primary property owner contact name E-mail 1