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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D:;P.REPARER W.`3,1.1t.7.-5?-477-1.-C11111.2.- . ' r Th j . -, - Jerry D.Stilwell Attorney at Law Preparer of the Sales Disclosure Form Tide 302 N. Prince Street Bamberger, Foreman, Oswald 8 Hahn,LLP Address(Number and Street) Company Princeton, IN 47670 812-386-6482 City,State.and ZIP Code Telephone Number E-mail - N _. � g `ESEli1.ER�GRANTQR� �_:; - r _ ,,•. -x. - : -- William E Hill Jr Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyvnce document 1718 Mentor Street Address(Number and Street) Address(Number and Street) Vincennes IN 47591 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ary s regf ed b \F,and is Dv)epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller WPIIAME HILL JR. / c/2.')/2_c/,d Printed Name of Seller Sian Date(mt/DD/YYYY) Printed Name of Seller Sian Date(MSt/DD/YYYY) ;F.43UYER(S)'/GRANTEE(S) APPLICATION_FOR+P,ROPERTY_TAX DEDUCTIONS IDENTIF KI ITEMSTHAT_AIVIN : John P. Hill Buyer t-Name as appears on conveyance document Buyer 2-Name as appears on co ce conveyance on -n: I S 107 N. Cross Street A it Address(Number and Street) Address(Number and Street) te THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFYA&W$•.q Ft YES .NO CONDITION I YES NO CONDITION y AUDIr(IR Z ❑ 1.Will this property be the buyer's primary (Z) ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coolin. System residence,including county: ❑ © I 5.Wind Power Device Address(Number and Street) ❑ IZ 6.Hydroelectric Pow:, iev' l� ❑ 0 7.Geothermal Ener - \g/Cooling Device City State ZIP Code loony ❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this pro er ( . esidential rental property? vacated for this residence? If yes,provide ❑ 0 9.Would you ' - 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) -/0 6.-13 -zo c)Od /076 ce.25 CO)).State ZIP Code loony Primary property owner contact name E-mail