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Homestead_Oneal INDIANA SALES DISCLOSURE FORM SDF ID: . Page 2 .15:PREPARER = '1 - - - - - ' ` - - -- - -: - ,_' - ` - - --- — -- - Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton.IN 47670 812-386-0050 rricker(tilhpk-law.com City,State,and ZIP Code Telephone Number E-mail E:SELLER(5)/GRANTOR(S) ,. ` - - Robert Wade Asberry Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8322 Dale Rd Address(Number and Street) Address(Number and Street) Dale IN 47573 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and omplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /Signature Signature of Seller Robert Wade Asherry 91-/7-/f— Printed Name olSeller Sign Date(MM/DD/YYnl Printed Name of Seller Sign Date(MM/oo/Yrrn F.:BUYER(S)/GRANTEE(S).-APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY-ALL ITEMS THAT APPL - - Du O'Neal Debra F.O'Neal A BuyerI-N ame as appears on conveyance document Buyer lName asappears on cc ent rYl 618 S Walnut St 618 S Walnut St Address(Number and Street) Address(Number and Street) tS o1 Oakland City, IN 47660 : Oakland City, IN 47660 - THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA ,'Go U YES NO CONDITION I I YES NO CONDITION G,BgO ❑ 1.Will this property be the buyer's primary L✓J ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including cou 701 S S-fv rm art f ❑ 5.Wind Power Device A ress(NumberanddSSo-eet) 1 ❑ Q 6.Hydroelectric Power Device a PtI hes 1 a r7 /N (17670 6I4Sch ❑ vi 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County gf ❑ 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 S including county: below. Please see instructions for more information. 6, ( 8 c)a k 0-4_43- S4 Not available in all counties.) ddress(Number and Stree lcCaL d CI 1-y /,J Cr (-to 6.bsc Z0- /a-O 7 -9o4-co ? 7/k - oa g City,State ZIP Code Counry Primary property owner contact name E-mail