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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DT,RREPARER% -• 3:,,-- ,t 3. . -.r-« .. -.T---, -. 7-777.,="7"T47.7 -r,.--. .
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(o)hnk-law.com
City,State,and ZIP Code Telephone Number E-mail
nE6,SELEER(S)'/,GRANTOR(S)). t-. -. ,'F?-;'T. . . . . - - - `-k , 1:-7s ..
Patricia D.Vanoven
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
911 S.Jefferson Street
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and mplete as re uir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/� J I
�1A� Li-als 1 a4LeSt A -J
Signature of eller Signature of Seller
Patricia D.Vanoven 12/11 G'I2016
Printed Name of Seller Sign Date(MM/DO/YYYYI Printed Name of Seller Sian Date lMM/DO/YYYYI
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. Q0NT
YES NO CONDITION I YES NO CONDITION y100
0 ❑ 1.Will this property be the buyer's primary ji ❑ 3.Homestead FOR
residence? Provide complete address of primary
❑ IN 4.Solar Energy Heating/Cooling System
residence,including county:
❑ j9 5.Wind Power Device
Address(Number and Street) ❑ 112 6.Hydroelectric Power Device
❑ 12 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
'ahomestead:in Indiana-to:be ❑ 8. Is this property a residential rental property?
❑ N 2.Does the-buyer.have
acated for this residence?- If yes,provide _t ❑ VI 9.Would you like to�eceive'tax:statements for this}
complete address of residence being vacated, property-via:;mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) !J ^
Gibson CZ_/o` Q G70/-00 • 3-o a 2
City,State ZIP Code County
Primary property owner contact name E-mail