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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Britany N Barnes Searcher
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com
City.State,and ZIP Code Telephone Number E-mail
Linda L. Barrett Kerry J. Barren
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1438 E.Conservation Dr.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of per'. ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,cor -et
ogmplete a equ d by laa ,and is prepared in accordance with IC 6.1.1-5.5,"eal Property Sales Did• osur:-,ct",
vet-,�� /2-c 416 I I !Itr i Cf2l //a ��.tr •�
P azure of Seller Signatur •'per '
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Printed Name of Seller Sign Pate(M /OD/fl'YY) P "coed Nam of Seller Sign Date(MM/DD/MY)
F5BUYER(S)/GRANTEE(S)-APELICATION FOR,PROPERTY.TAX DEDUCTIONSIDENTIFYALL,ITEMSTHAT APPLY'':. D __
Michael E.Leistner Megan P.Bell
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
4909 N Old US Hwy 41 4909 N Old US Hwy 41
Address(Number and Street) Address(Number and Street) Et)
Patoka, IN 47666 Patoke, IN 47666 OCT
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APEIN • ...
YES NO CONDITION I YES NO CONDITION Nneq•
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Q ❑ 1.Will this property be the buyer's primary IS ill 3.Homestead "Jiro R
residence? Provide complete address of primary ❑ IS 4.Solar Energy Heating/Cooling System
residence,including county: ❑ IS 5.Wind Power Device
3961 N Kunkel Ln
Address(Number and Street) ❑ ES 6.Hydroelectric Power Device
Patoka, IN 47666 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
IS
❑ vi. 2.Does the buyer have a homestead in Indiana to be El 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ IS 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)
£-ps o- tap- 002- d4,Z- O/
City,State ZIP Code County
Primary property owner contact name E-mail