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Homestead_Hartley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;D:.pRERATiER;-777;77,t...-7777•7,-;, il,.C.,,;L::.Trrfi;f:EL ir-',__Jr-V..-',It".'7,..,Ilyyj.",'=" '.:7;.77;,*--71-!, ;-,7. ,—,""7„-,jr.ri.7ttf.::-..::-.77:4-c —Tay- --.7„.--; J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St.,P.O.Box 13 Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinklehok-law.com City,State,and ZIP Code Telephone Number E-mail .:tE:.SElifiEk(SIZGRANT 6RISTLI:--..7;"1:1,2-2,1,4a7.::-Tk---:" :.-. 777----'1 :t=r:.-ft71.7F11.-.1.17att:c.: 7. ..-...17-T-:--77777r7.-,7: Mary I nil McGee Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document 224 N Jackson 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 o ete as re ire b lafiw, nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature f Seller Signature of Seller Mary I nu McGee 08/ 2-?... /2016 Printed Name of Seller Sian Date(MMIDD/YYYY) Printed Name of Seller \ Sign Date(MWDD/YrlY) ;F:-SWIER(SVGRANTEE(SttAPPLICATIONiF.0-RTRRDPEFITVIK,VDEISU.CTIONWIDENTWYTAEETICEMS3FH. irtY4-77-1,---711- Ronald L. Hartley Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on senveyanee documS C';',,e, 10206 E. 250 S. vr. Address(Number and Street) Address(Number and Street) Oakland City,IN 47660 .--1 ■ _ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPety. NN ./, ..".., YES NO CONDITION YES NO CONDITION (is '/- IA D 1.Will this property be the buyer's primary VI El 3.Homestead residence? Provide complete address of primary D z 4.Solar Energy Heating/Cooling System residence,including county: D 12 S.Wind Power Device 224 N Jackson Street Address(Number and Street) 0 Z 6.Hydroelectric Power Device Oakland City. IN 47660 Gibson ID 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County D Z 0 D 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 Ill Z 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 10206 E.250 S. 9 t available i all counties.) Address(Number and Street) Oakland City, IN 47660 Gibson Ronald L.Hartley City,State ZIPCode County Primary property owner contact name E-mail