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Homestead_Caniff INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D',P:REP,ARERl c h a=`. f.- s .----•,7z.:. -s—r -- - 7-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 irkinkleehpk-law.com City,State,and ZIP Code Telephone Number E-mail IE>.SECLER(SUGRANTOR(Sii � ` �.�— - -. _._,, - F` ' .lack I Caniff Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1218 Darwin Ave Address(Number and Street) Address(Number and Street) 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". 9u� X'. tgnature of Seller Signature of Seller ,lack 1 Caniff '- - b Printed Name of Seller Sian Date(•M/oo/mYl Printed Name of Seller Sian Date IMM/aopYn) R•tUYER(S)f GRANTEE((S)i-APPLICATION11-01tPROP,ERTN,TAXiDERUGTIONSEIDENTIFY!AL'L'.ITEMSiTHATiARI Kevin L. Caniff - Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 823 WuSt. Address ss(,Nummbber and Street) Address(Number and Street) YES NO CONDITION I YES NO CONDITION CO/,ro ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead rYq� residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Sysilk) residence,including county: ❑ S.Wind Power Device R 823 N West St Address(Number and Street) ❑ 0 6.Hydroelectric Power Device _Princeton,IN 47670 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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) 36 - la-pq- l oa - coo. D(s-O2 City,State ZIP Code County Primary property owner contact name E-mail