Homestead_Hall (13)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER � °. . . ---� - . -. . - - � . -
J. Robert Kinkle Attomev
Prepaw o(NeSala DBdosvre Fortn Jitle
219 N. Hart St.. PO Box 13 Hall Partenheimer & Kinkle
Addras(NumbvandStreet) Company
Princeton IN 47670
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E. SELLER S GRANTOR S `� - - � ' � � ' � •` � � � - �
�ason (' Rmrke
Seller 1- Nome as appears on ronveyanre document Seller Z- Nam<as oppears on ronveyanm dxumrnt
32R N SPminarv Sireet
Addrecs (NUmberandSVttQ Address (Numberand StreeQ
PrincPton IN 47fi70
Ciry, Smte, and7JPCode Clry, Smt4 a�d ZIP lode
f-mail 7de honeNumber E-mail
Und penal[ies of pery'ury, 1 hereby certify that this Sales Distlosure, [o [he bes[ of my knowledge and belief, is true, correc[
and mple[e as r ui d by law, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Proper[y Sales Disclosure At[".
Si n ureo/Sel/u SlgnamreofSeller
Pn'ntedNameo Sellrr Si n u UO' PrintedNameo Seller Si Da MM 00
F. BOYER S GRANTEE S-APP.LICATION�FOR PROPERTYTAX DEDUCTIONS= IDENTIPYALL I S H TAP L�-
J m . H II Dana R Hall "
apptarsamm�veyanredxummt Buyerl-Nomeasappearsantonveyanredi8���30 2015
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370 S. 4th Street 310 S. 4th Street
Address (Numberand5treet) Address (Num6e� ond StrceQ
Princeton IN 47670 Prinrptnn IN 47670 �jo ,{k
Ciry,SmtGandZlPCod<
Email
THE SALFS DISCLOSURE FORM MAY BE USEO TO APPLY FOR �RTAIN OEDUC170.�'S FOR THIS PROPERTV. IDENTIFY ALL OF THOSE THAT APPLY.
vFS no cosomou r e—co.�; ioa
Q ❑ 1. Will [his property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary - � 4. Solar Energy Heating/Cooling System
residence, including county:
RnR c Racp cireet ❑ ❑� 5. Wind Power Device
Addrm(NUmWandStreet) ❑ � 6. Hydroelec[ric Power Device
Pnnceton IN 47670 Gibson � 0 7. Geothermal Energy Heatlng/Cooling Device
Ciry, Sm¢ LPCade Counry
❑ Q 2. Does [he buyer have a homestead in Indiana to be � � 8. Is this property a residenrial rental property?
vacated for this residence? If yes, provide ❑ � 9• Would you like [o receive tax sU[emen[s for this
comple[e address of residence being vacated, property via e-mail? (Provide contac[ injormation
including county: below. Please see instrucdons for more information.
Notavaila6le in
Address (NUmberand5tree[J /� t7
James C. 8 Dana . Hall 'Z�o �� � -/d "��� �00 �• % �(( �%i O
Ciry.SmleLPCade Counry ' Email
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Under penal[ies of perjury, 1 hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correc[
and tom e[e as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Proper[y Sales Disclosure Act". (No[e:
Spouse f rma[ion, Social Security and Driver's License/O[her num`�/ no[ necessa f omes[ead Deduction is
being fil , j �
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Signamreof 1 SignamreafBvyer2/Spaux r�
n....., o Hall
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LastSdigicsofBuyer7Drivels Sta[e LaseSDigicsof5oaalSecuriryNum6er LastSdigitsojBuyer2/SpouseDnver's Smte LastSDigirsojSocialSecurity
License/1D/OrherNum6er Num6er License/!D/O[herNum6er
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