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Homestead_Davis (31) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -2:7614-1InAktreIi-.7777, 7-T±_7-7-vP::;:r VC-r.771I-1:;:-:-?t:7 ':Ir:7".:cr.i7.".'-4.:-171Cf-177--.77 -“- 7 • ,.-L_. •'- - - --v. . Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St.. P.O. Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 nickerehrok-law.com City,.State.and ZIP Code Telephone Number E-mail 1/4ELcSELIER(SIZGRA-NrIOR(S)=_-_-=-Stini7E-.,"‘ -72-ii77.=fil..1.,±".-;;:-' ';-:7-:".-7-.:1::::-.7:71,-t:t7:77-7-1:-.7;77-7,2::. -:--7rn---7J--7- -•,--_ Christopher M March Misti D Marsh Seller!-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 403 E Old Petersburg Rd 403 E Old Petersburg Rd Address(Number and Street) Address(Number and Street) Under enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an Riplete as requir d b law,an is prepared in accordance with IC 6-1.1- .5,"Real Pr erty Sales Disclosure Act". .._ r g/ t nikkitt1) nit ' Signature of S Iler Signature of Seller Christopher M Marsh 11/ 0 LI /2016 Misti D Marsh 11/ q /2016 Printed Name of Seller Sian Date(AMMAM) Printed Name of Seller Sion Date(MMADDAYY)11 „F./.131J.YER(S)7,GRANT•EE(S)'azAPPI_tICATION;FORtPROP‘ERT.Y.'rAX■DED.UCTIONS' Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 1219 S. Gibson Street 1219 S. Gibson Street Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITIO. LT IZI 0 1.Will this property be the buyer's primary IZ 9 3.Homes , residence? Provide complete address of primary 9 2 4.Solar E'!ergy3I g .../4iiling ystem residence,including county: 0 IA S.Wind Powe 1219 S Gibson Street ill 7 2016 Address(Number and Street) 9 g 6.Hydroelectric Power Device Princeton, IN 47670 Gibson 9 Ej 7.Geothermal Energy 11 ati ing Device City,State ZIP Code County 0 IN 8.Is this prop I rental property? 9 2 2.Does the buyer have a homestead in Indiana to be GiBSON COUNTY AUDITOR vacated for this residence? If yes,provide 0 2] 9.Wouta you nice 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 Co—I c)--i 8-d 03 - Doi. 1 lo 3-DOP George Pallay and Jamie Pallay City,State ZIP Code County Primary property owner contact name E-mail