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Homestead_Seessengood INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _D:PREP-AREA L : ._-. 7. z` -• Roman Ricker Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13. 219 N. Hart Street Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton,IN 47670 _ 812-386-0050 City,State and ZIPCode Telephone Number E-mail ;Er.SELLER(S)/GRANTOR(S) _ __ '." 3 = } lames R Stiles Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1011 F 4th Street Address(Number and Street) Address(Number and Street) Under penalties o t erju , hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an. . re I ui e. , law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". E.... ®.cur my Signature of Seller James B Stiles : :tr, I • Printed Name of Seller :tan Date M/DD/YYYY) Printed Name of Seller Sian Date(MM/OD/MY) ;F:BUYER(S)/,GRAN;T£E(S) .APPLICATIONFORPROPERTYTAX-DEDUCTIONS.JIDENTIFYALE 1r A';, - ;'-, a I Karen Sue See ss enaood Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4793 N. 725th Street JUN 15 2016 Address(Number and Street) Address(Number and Street) Newton, IL 62448 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 YES NO CO NDITION ❑ 1.Will this property be the buyer's primary (71 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device 624 N Main Street Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 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 ❑ 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) Karen S.Seessengood aI b o- /n-)oa-09J 27 City,State ZIP Code County Primary property owner contact name E-mail