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Homestead_Runau
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 - --- _ _ _ . rt,s ,- - DiP,RErnrcrte-_._ � _ ' ' R-`t a =°' `�tii ; s : y `: _ :-: _ Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 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 ZIP Code Telephone Number E-mail EhSECL^ER(S)/GRANTOR(S)122 �:_'.�_.�'.— a_._ 5_�_> � �: ... :�.:- x � F- � __-. � _ _ °. Timothy S Darnell Catherine G Darnell Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 116 N Prince Street 116 N Prince Street 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 compllas required��by ,and is prepared in accordance/rl'ith IC - °f Property Sales Disclosure Act". S nature of 0Sf IQ ( Signature of Seller rip Timothy S Darnell -961- /2016 Catherine G Darnell A6/ 10 /2016 Printed Name of Seller - Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date lsw/DD/YYTf ::BUYER(S)/GRANTEE(Sr APPLICATION•FOR:RROPERTY,TAX DEDUCTIONS ;;IDENTIFYALE ITEMS:THAT'APPLY` - Jared L. Runau Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4847 Address S.(Number anE. d Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 THE SA IFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS T APP Y. YES NO CONDITION I YES NO CONDITION �iY IYA Q ❑ 1.Will this property be the buyer's primary 17) ❑ 3.Homes gON COUNTY AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ NI 4847 S 1025E S.Wind Power Device Address(Number and Street) ❑ El 6. Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ 171 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ IZ 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 ❑ IZ 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) A(as_[a-. 1 , 1 c 3r- 000. O fl a - oat Jared L.Runau jarendoldo @hotmail.com City,State ZIP Code County Primary property owner contact name E-mail