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HomeMy WebLinkAboutHomestead_Kegg Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 51-,P:REPARERLJ C:77: _-- j ,• ---, - - _ ' : — ,— . . . ',..;J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form ride P.O. Box 13, 219 N. Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkle(8hpk-law.com Ciy,State,and ZIP Code Telephone Number E-mail 4E:SEETER(S)%6RANTOR(S)i` r. .La — �:r{ xT — -r:rs±717-7=— < sw'::r' l> J+:I'll Donna S Gnllptt Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7027 F SR 64 Address(Number and Street) Address(Number and Street) Francisco IN 47649 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct acomplete as r qutr by la and is prepar' r in accord nc; with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". and Ltd-��t / - Signature ofSeller A c..3 _A Signature of Seller Donna S GHllptt by Anita Waldronn POA 12/30/2016 Printed Name of Seller Sian Date(MM/DD/YYYY) YES NO CONDITION I YES NO CONDITION 7j ❑ 1.Will this property be the buyer's primary 0 0 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 7097E SR 64 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ z 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.1 Not available Tin all counties.) �,as c+ Address(Number and Street) 1(. -1,3 �psfl- �tb— DD�e 33 - Michael R.Kegg.Jr.and Malisa Kegg City,State ZIP Code County Primary property owner contact name E-mail