Homestead_Perry (20) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
II DIfrtEPARER*7. -,-.-Ii'c-:::;P-7:-.4z- ;.;..;_m-"i- ,15.1‘..,:T. :;-.5.,t7,;'.-1.-.7-.c--.::: .:-. -_-.. 1' -7_-1_--.- 7-'--1±,i' -A 11.--TC
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street, P.O. Box 13 Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehok-law.com
City,State,and ZIP Code Telephone Number E-mail
-.,..1C7._Ls,--_-.,-: 2.-va....,-,,--,:7.- -i Ya -Ili 7: -. '. __..:__
Rita.1 Barton Jeffery Brian Barton
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
5868 S 175 E 535 W Illinois 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 lete as require y law,and is prepared in accordance with I -1.1-5.S," al Prope Sales Disclosure Act".
la
Signature of Salle
• ature of Seller
Rita J Barton 10/ /V /2016 Jeffery Brian Barton 10/ / 7 /2016
Printed Name of Seller *II:kW(MWDIVYYYY) Printed Name of Seller Sian Date thr.WWWITY)
:F:BUYER(Sy/GRANTEE(SfnAPPEICATION:FORPROPERWJAXWEDUCTIONS7-IDENTLEY ALL,ITEMS,THATTAPPIXT:',..7 . '7.,,T„'
Jennifer L. Perry
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
/17 tii /flt ri, 53—.
Address(Number and Street) Address(Number and Street) FILED
/
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T APPL
YES NO CONDITION I YES NO CONDITION
171 III 1.Will this property be the buyer's primary 2 D 3. Homest9ARSON CUUN I Y AUDITOR
residence? Provide complete address of primary 0 g 4.Solar Energy Heating/Cooling System
residence,including county:
0 119 5.Wind Power Device
117 N Main Street
Address(Number and Street) D 2 6.Hydroelectric Power Device
Patoka, IN 47666 Gibson 9 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 2
0 9 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 lZI 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)
Jennifer L.Perry .4,-3 LI-ta g-3CH- 00o.o2C-(3.-boia
City,State ZIP Code County
Primary property owner contact name E-mall
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