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Homestead_Collins (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - - . - - - - - - , - - 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(dhpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) - Matthew I antrin Jennifer I antrip Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4380 W 11-$PB- 3 So S 4380 W 11E+A6 30 S Address(Number and Street) Address(Number and Street) Owensville IN 47665 Owensvillp IN 47665 Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and com rlete .s required y law,and is prepared in accordance with 1.1-5.5,"Real Property Sales Disclosure Act". Lriga& aIi. — _r o / 4 ^y� i J\ Signa ur of Seller tams_ n \gmtuu.e ofSeller './ \ I hP antrin /JC 10:1- Jertrtif@r Lantrio t x/0--7 1 S Printed Name of Seller Sian Date(uM/DDIYYY) Printed Name of Seller / Sian Date(AOS/DO/YI'YY) F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY t - Brian Collins Tally Collins Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 717 E Evans St 717 E Evans St ..7.—.„ _ _ Address(Number and Street) Address(Number and Street) 11 , I�) pg Princeton, IN 47670 Princeton IN 47670 J R /_ t THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AP/PLLY. I/ YES NO CONDITION I YES NO CONDITION '/l/ 2 ❑ 1.Will this property be the buyer's primary ❑ 3.homestead GIBBON COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 4380 W 350 S S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Owensville IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County 0 ❑ 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. 717 E Evans St Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson a(0- «-a g-3 o0-cc q.211-0:? City.State ZIP Code County Primary property owner contact name Email