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Homestead_Helsley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 J. Robert Kinkle 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 irkinkle(oi7hnk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) • - _ - - • - -_- _ .. - - - { _.• Brenda Sparc Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3239 E 600 S Address(Number and Street) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct : - I complete as re. .'red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". al t e!) • wt...i ..Signature of Seller Signature of Seller Brenda Seats /0 t,/,'rI S Printed Name ofSeller Sign Date(MM/oo/YYYY) Printed Name of Seller Sign Date(MM/DD/YrvY1 F.-BUYER(S)/GRANTEE(S)_=APPLICATION FOR PROPERTY TAX-DEDUCTIONS=IDENTIFY ALL ITEMS:THAT-APPLY • - ___ Michelle Helslev Jerry Helsley Jr. Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 3834 $750E 3834S750E Address(Number and Street) Address(Number and Street) Francisco, IN 47649 Francisco, IN 47649 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead , residence? Provide complete address of primary ❑ © 4.Solar Energy Heag residence,including county: ❑ a S.Wind Power Device 3834 S 750 E �f T 5 2015 Address(Number and Street) ❑ 2 6.Hydroelectric Power c Francisco, IN 47649 Gibson ❑ Q 7.Geothermal Energy H ating/Cooling Deli e City,State ZIPCode ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a �W*^ r�rGl�lft^vw roperty. to be vacated for this residence? If yes,provide ❑ ❑ 9.Would you lictlaQNiCa NMeMF9isTIBfahis 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) M City,State ZIP Code County 4- X.3-,1.3-/oo- Goo. 090-tN Primary property owner contact name E-mail