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Homestead_Sheridan INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 s T— 7 D?,PREP,RRER4 -,�. ;` . a�' _ .. J 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 irkinkle(5hpk-law.com City,State,and ZIP Code Telephone Number E-mail E:.SELgER(SVGRANTOR(SJ?, - ' '-_ `._7 `-- _ T= . 1 Marsha I Richardson Seller 1-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document 501 Harding Ave Address(Number and Street) Address(Number and Street) Princeton IN 47670 Ciry,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". * hta.c./-I ) g. 12 c-ica42O nu) Signature of Seller Signature of Seller Marsha L Richardson ///'}f/2o.0 Printed Name of Seller sqn Daee(MM/DD/YYY11 Printed Name of Seller Sian Dote(MM/DD/YYYY) Fy13.U,YERR((ST/GRANTEE(S)I' P$LICATION±FORlPRORERTtY TAXSDEDUETIONS_`ID'ENTIFY Ati MStTHAVAPPLW _- _T1 Matthew D. Sheridan Julie Ann Sheridan �� I�, Buyer)-Name as appears on conveyance document Buyer 2'Name as appears on conveyance data e; 2105 S Main Street 2105 S Main Street , !,) Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 JAN 1:5"2016 City,State,and ZIP Code t/ , Ia E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY:JUNTy AUDIT OF? YES NO CONDITION YES NO CONDITION IZ1 ❑ 1.Will this property be the buyer's primary Wi ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 501 Harding Ave ❑ 12 5.Wind Power Device Address(Number and Street) ❑ IZ1 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County WI El ❑ 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. 2105 S Main Street Not available in all counties.) Address(Number and Street) n /�/'� �] Princeton, IN 47670 Gibson 3 6 - I a •o' -a o3 - f/[/l- DIE / ! City,State ZIP Code County