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Homestead_Miller (11)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 sD:.P,REPARE RT..: ',1 re. . if--,: cti 7..�Tr "'�.'VP: :T- :"s ,•-t s:- �. i '-� �.1'.a.t..�..r�i�.rt �=?�itv!: ±__ `Si. -�.� .4._.:a-1 �"-?=r� ce=c�. — 's �.. �._ Roman Ricker Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13, 219 N. Hart St. Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 City,State,and ZIP Code Telephone Number E-mail E.-•SEL'LER(5J/,GRANTOR(St2 .. , _s `ae ._} '___ -t. r =;-1:_-.ti!1..—A`i T.::: ';rt Randall E Sparks Kara L Sparks Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 566 S Pineview Dr 566 S Pineview Dr Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co as b law,and is prepared in accordance with l�` a 6-1.1-5.5, Rep•I Property Sales Disclosure Act". �r ows- -,Cris Signature of Seller Signature of Seller !/',/ an/ 1 Randall E Sparks 722 /C Kara L Soarks 17 Printed Name of Seller Sian Date fHM/OD(YYYY) Printed Name of Seller 'Sion ate1MM OD(YYY11 ,P-,I3U;YER S NFrANTEE S _a•AP.PLICATION:FOR PROPERTY>TAX 5EDUCTICiNS_41DENTIEY,'dLIF ITEMS±THAT APPLY Buyer Na M. Miller Rita Miller L R D Buyerl-Nome as appears on conveyance document Buyer 2-Name as appears on conveyance c m [ 125 Kieffer Ave. 125 Kieffer Ave. a Address(Number and Street) Address(Number and Street) Mt- Carmel, THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THCO1 B9, iO DUNTNr AUDITOR YES NO CONDITION I YFS NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 566 S. Pineview Dr. ❑ MI 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, IN _ Gibson ❑ 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 ❑ 0 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) 11 Steven N.Miller 94.-1i -15m/op-Obi ,St-E? City,State ZIP Code County Primary property owner contact name E-mail