Homestead_Stolz (5)INDIANA SALFS DISCLOSURE FORM SDF lD: Pa e 2
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J. Robert Kinlde Attomev
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219 N Hart St. Hall Partenheimer & KInMe
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Under penalY�s af perjury, I hereby certify that Wis Sales Disdosure, to the best of my Imowledge and 6elie( � true, wrred
and�9 mi� te as r c�yt}*e� b aw, and is prepared in attordance with IC 6-1.1-5.5, °ReaJ Property Sales Disclosure Ad°.
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I yman (1'Naal 11/ �/ 2015 �ynthia S O'Neal �71/ o� / 2015
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11242 E 50 S �
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Princeton IN 47670
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THESALESDLSCLONREFORMMAYBBUSEDTOAPPLYFOA�RTAWDEDUCfI0N5FORTHLSPROPERTY.IDFMIFYALLCQi iTN05 APPLY. �
YES NO CONDRfON YFS NO CONDRION �BS I
Q ❑ 1. Will this property be [he buyer's prtmary 0 ❑ 3. Homestead �UNTyq
residence? Provide wmplete address of primary � � 4, Solar Energy Heatlng/CooGc�yy��
residence, including caunty: � m S. Wind Power Device
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pm,��N,,,,,e��,es�i� ❑ m 6. Hydroelectrit Power Device
Oakland Ciri IN 47660 Gibson � � 7, �othertnal Ener� Heating/Cooling Device
dry, Sin2IIPCode Com+ry
❑ � 2. Does the buyer have a homestead in [ndiana to be � �$• �s this property a residential ren�l property?
vaca[ed for this residence? If yes, provide ❑ 0 9• Would you like to receive tax statements for this
complete address of residence being vacated, property via rmail? (Provide conuict injormatlon
including county: 6etow. Please see instrucdons for more informatlon.
Not availa6le in alI caundes)
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Under penalties of perjury.l hereby certify that this Sales Disclosure, [o [he best of my knowledge and belief, is true, cotrec[
and complete as required by Iaw, and is prepared in accordance with IC 6-LI-S.S, "Real Property Sales Disdo.tiure Acc°. [Note:
Spouse informatlan, Sotial Security and Drlvers License/Other numbers are not necessary if no Homes[ead Deductlon is
being ft}ed",3' �
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