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Homestead_McRaven
• INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 (DAPREPAREI '#,*. .,a- 'C 's -4 :-.-.'In. r - Vi 47 -9- 't:5. --1(...:" -t- -.; Vit_-.i Roman Ricker Attorney Prepares-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 rrickeronhok-law.com City,State,and ZIP Code Telephone Number E-mail [ETSELLER[S)GGRANTOR(S) - :-.- 7-17-,;°- -C7 :771, . 77" _- rr _ -:-.,-..:.,-.--.--;:r.',: ,2'�.: Country Ayre Inc Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2282 E Warrentnn Road Address(Number and Street) Address(Number and Street) Under p nalties of perjury,I •reby certi,, that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cam lete of re . aw,an . epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". / Oa Signature of Seller Signature of Seller David F Gniehel resiripnt 12/19/2016 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) (TBUYER(S%GRANTEE(S)a"AllIM IGATI0NIF,QR1PRORERT$iTAXiDEDUCTIUNS IDENMIENO:fill,F EMSOHATt'APRIntiA '>« -i''tr Sharon K. McRaven Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance datum t 2134 Cameron Place b Address(Number and Street) Address(Number and Street) a- To,En Charleston, IL 61920-3810 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSMIMAOP _- Y CpUN ES NO CONDITION YES NO CONDITION D ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead ofJ N rY //Dn.OR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: I _ r ❑ IN 5.Wind Power Device • ti Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ 0 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. 2134 Cameron Place �t J/ �/ 2 Not available in all counties. Address(Number and Street) - r 9oc-toio. 93 -602 Charleston, IL 61920-3810 Coles Sharon K.McRaven OJ City,State ZIP Code County Primary property owner contact name E-mail