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Homestead_Cooper (2)
• INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 LD)IBREP,ARERYe .fi;. .- -- t...y1-1E:CV-7 -1: „t °t,.:.-4-77: -n'B,P,, ,--N} , :-c _./.,-: _, :4 3 . -i J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N Hart St Hall,Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(hhpk-law.com City,State,and ZIP Code Telephone Number E-mail ESELLHR(S /GRATQR(S)3'71- • T,W' —:-ET=. 77t777-731::;. r 7,7:-7r-7...F.:(Jai irs : _,_ . 7--"'7-7-7-7-01- 1-,---. .s. .1. ... : . ....... • Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document 500 S Center St Address(Number and Street) Address(Number and Street) Ft Branch IN 47648 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an pl to qs r�s equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller /- Signature of Seller R Jonathan Blankenberaer O O LC/ Printed Name of Seller Sian Oat (MM/DO/rnrl Printed Name of Seller Sian Date(MM/DD/YYn1 F?.BUYER(S)/GRANTEE(S)SAP,PL'IGATIONIEOMPROPERT,Y!-TAXDEDUCTIONS IDENTIMALLNITEMSITHATiAPPLYT"T4 . . .. 1 Angela K.Cooper Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2130 Vine Court Apt 10 Address(Number and Street) Address(Number and Street) Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLSI 5 20/5 YES NO CONDITION YES NO CONDITION C 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestedd/9SO/��.- residence? Provide complete address of primary ❑ © 4.Solar Energy Heati :fir' eli ?'stem residence,including county: q 500 S Center St ❑ 19 5.Wind Power Device (10/rOR Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Ft Branch,IN 47648 Gibson ❑ Ei 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. Not available in all counties.) Address(Number and Street) 011‘—/9—/9—/' 7—a6 0. < 91 a6 City,State ZIP Code County Primary property owner contact name E-mail