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Homestead_Cox (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER -. - - . . _ - - -- ,r - •- - -- - _ 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 Irkinkleehok-law.com City,State,and ZIP Code Telephone Number E-mail ,E.SELLERS)/GRANTOR(S) •_ - - - Janine E Anthis Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5251 N 75 F Address(Number and Street) Address(Number and Street) Patoka IN 47666 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". Sig fture of Se er Signature of Seller Janine E Anthis Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYrYI THIS PROPERTY. IDENTIFYTIL OF T T TTPPY.ry ,/ YES NO CONDITION l�l'y 0 ❑ 1.Will this property be the buyer's primary [ ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy HaiRgACgoelliSystem residence,including county: ❑ IN 5.Wind Power Device 171 W225N Address(Number and Street) ❑ 0 6.Hydroelectric o • —. IL -c Tilt lh Princeton IN 47670 Gibson ❑ 0 7.GeothepigITpg)'gy(§(9; ., :/. •.1jit vice 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) City.State ZIP. IPCode County 6 — ©5 `1D -a► 1-oa). W2--0cR 1 Primary property owner contact name E-mail