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Homestead_White (8)
it 4 .x, \ i v_ e- 4 INDIANA SALES DISCLOSURE FORM `'tak; -.LJk SDF D: - - %: ' Page 2 D;.PRfiPARER'iii _z� -2._ r '7 _ _ ;o;. '7 , t.:7 ---- --- 7 . . "".-`-i- >t J. Robert Kinkle • Attorney Preparer of the Sales Disclosure Form - Tide 219 N Hart St. %-- . Partenheimer, Kinkle&Ricker • Address(Number and Street) - Company Princeton, IN 47670 812-386-0050 irkinkle(Thhpk-law.com City,State,and ZIPCode Telephone Number E-mail LE:SEL'LER(S)%GRANTOR(S)1-a £-- :-_'_ -_. _=' r ' ;j:yiS30r ac' `. --_ —:_ i.::. _ ,...u.- -"'--r3:a. #.Los=n-i-. ."-- Ralph E Koch Revocable living Trust Seller l-Name as appears on conveyance document i . Seller 2-h'anie as appears on conveyance document . P O Box 503 - . i�.-. Address(Number and Street) Address(Number and Street) Poseyville IN 47633`•'_-. ' s. Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and o plete as re a uired by law,and is prepared in accordance`with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". • 7, Signature of Se/r el ' / "Signature of Seller • F Ralph E Koch Trustee 4--/3 -/7 ''S ' tv Printed Name of Seller - - _ Sign Date(MM/DD Printed Name of Seller Sion Date(MN/DD/YYYl7 'F.:BUYER(S)%GRANTEE(S)L APP,L'IEA'fION FOItTROP.ERTil O,TAXWED.UGTIONSc�aI)ENTIEY_ALL-ITED.'1S;THAT+AP,P,LX,'.7^'; 3`»: z� :� Joshua White - .0 Dana White Buyer l-Name as appears on conveyance document Buyer2>Name as appears on conveyance document•10093 S Koch Drive . ' 10093 S Koch Drive Address(Number and Street) Address(Number and Street) Owensville IN 47665 Owensville IN 47665 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSRLATT P YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead APR residence? Provide complete address of primary ❑- © 4.Solar Energy Heating/C�INir tern . residence,including county: ❑ 12 5.Wind P werIP:I e ;. Address(Number andStreet) ❑ 0 6. Hydroel eLlYWt w3-•iS'!?-1r •❑ ❑ 7.Geothermal Energy Hearings/6E0g Device City State ZIP Code County (7 ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential yenta operty? 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. L Not available in all counties.) I Address(Number and Street) lam" 3.2 _ 2.1 City State ZIP Code County I1, Primary property owner contact name E-mail L� 'I I' �u�xit a.,