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Homestead_Jobe INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ta.PREPARER' ._^: 2#, ,r. --777-7.7-,77,7,.7.77.37i--'; 77-7 -'- -1. J.Robert Kinkle _Attorney Preparer of the Sales Disclosure Form Title 219 N Hart St Hall, Partenheimer 8 Kinkle Address(Number and Street) Company Princeton,IN 47670 812-386-0050 jrkinkle @hnk-law.com City.State,and ZIP Code Telephone Number E-mail ;E:.SEEL•ER(S)/GRANTOR(S)... _M._ _��_- iL :.`-.—_`c '- S t __.� __ ._-�,_._� >. ' -_- Jeff Irvin Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4017 F DPPdand Dr Address(Number and Street) Address(Number and mail Under penalties of perjury, I reby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete s re 'fe aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature a Seller Signature of Seller /' Jeff Irvin �v '9- ( Printed Name ofSeller Sian Date(NH/aa/YYYY) - Printed Name of Seller Sion atyN FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 101 N Hull St S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt. IN 47639 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County NI ❑ 0 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. Please see instructions for more information. Not available in all counties.) Address(Number and Number