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Homestead_Rolley
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER • - • J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13. 219 N. Hart St. Hall, Partenheimer 8 Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) - I isa M Hamilton Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5886 E 500 N 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 comp teas required,quuired y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signatu fSeller a� Signature of Seller I isa M Hamilton 0/0 f /2016 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYY) F.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY A 14 hT-EMS HATSPP Mitchell Rolley •'peors on conveyance document Buyer 2-Name as appears on c yon o 1206 E. Ohio St. Address(Number and Street) Address(Number and Street) JUN 7 2016 Princeton, IN 47670 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YF B--EBt:91ilO� 0 ❑ 1.Will this property be the buyer's primary [' 3.Homesteah residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 5886E 500 N S.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Patoka, IN 47666 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County IN ❑ Z 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.Mee • •• - - -•s• • at are information. • available in all counties.) Address(Number and Street) / M shell Rolley a6 .o4-/8 - /ai) -CO o. ca)/-C)/ 2 City,State ZIP Code County P • ..• owner contact name Email