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Homestead_Robb (14)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ' !D?.EREP,ARER• J.Robert Kinkle - Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(ahhpk-law.com City,State,and ZIP Code Telephone Number E-mail I.E1-.SELLER(S)16-ffANTORMI- _ __ . - . Mid-West Development,Inc. Seller I.Name as appears on conveyance document Seller 2-Name as appears on conveyance document _106 S.5th Avenue Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". gna re of Seller Signature of Seller Tim Mason, President 12/ j L /2016 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYI) LFTBUYER(S)'/.GRANTEE(S);-_APPLICATIONIEDVP,,ROP.ERTYLTAXDED.UGTIONS=IDENTI EY'AEthITEMSITHAT(APPIIYL____ Pamela A. Robb Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 202 Olive Drive Address(Number and Street) Address(Number and Street) Princeton, IN 47670 THE SAL DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES Na CONDITION YES NO CONDITION ,. tpr 1.Will this property be the buyer's primary [,r 1:1 3.Homestead FILEEC Cp- residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ p 5.Wind Power Device DEC 16 2016 Address(Number and Street) ❑ [ 6.Hydroelectric Power Device ❑ Z 7.Geothermal Energy J:.ti • I •t../ • Device City,State ZIP Code County L 1, -V'mf►r - ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this grope o : ' w •y ':,tgny�pn qty? 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 Street) Gibson a(0 —�a -o t -4o i - Doo .o aa- Da F City,State ZIP Code County Primary property owner contact name E-mail