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J. ROBERT KINKLE HAIL, PARTENHEIMER 8 KINKLE
Prepurer n(ikr.G.les OSdarun Form
� 19 N. HART ST., P.O. BOX 13
PRINCETON, IN 47670
Cim. S�me. cnd LP C�e
:. SELL-ER(Sl/GR.4YTOR{Sl .� <.;: _?' �:`:�` � , . _�
KAREN S. GOEBEL
Sr(Itr -.i'�mr ns �ippc:ns on i'omrrance Jocumcnr
7865 W 275 S
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OWENSVILLE, IN 47670
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ATTORNEY
HALL, PARTENHEIMER & KINKIE
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nalties of perjun•, 1 hereby certi(�� that this Sales Uisclosure, to [he best of m�� knowledee and belief, is true, correct and
as req 'red y law, and ' prepared in accordance with IC 6-1.1-S.i, "Real Properh� Sales Disclosure Act".
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i R.INTEE(_ �PPLIC�1T10\ FOR DEDUCTIO\S A\D CREDITS =1DEtiTlf'1' r�LL ITEDIS THAT :4PPLl' ;
� J. WRIGHT JR. /
OWENSVILLE, IN 47670
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fHH SAI.FS DISCI.OSURF FOR�I �IAI' RE GSFD TO APPI.y FOR CERI"AI�
� 1. R'ill this propem be thc bupers primary residence? Provide complef
�ddre;s of priman� residence. includine counn•: `
7665 W 275 S
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OWENSVILLE, IN 47665 Gibson
Cint Sla:e md7JPCm/r Counrc
r?. Dces the bu}�er have a homestead to be ��acatzti for thi> residence? If
yts, proaide compkte addrecs o� re:idznce vacating. including munry:
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Bu�er -:Ynmr ns ap{�curs an romrvnnre dacvmmr
.4Nress(.Ytnnbt��und5t�reri ,
Cip�. Sra/r, und Z/P Cate
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� 3. Homestead
� 4. Solar Enrr� � mg/Coolin� System
r 5. �\'ind Po�ver De��ice
r 6. Hydmelectric Po�rzr Devicz
� 7. Geothennal Enerw HeatinglCooling Device
r 5. Is this propem a residential mntal property?
r 9. Nould cou like to recie��e tax statements for dii> propem �•ia
e-mail? (R�o��ide contaci injom�arion belmn. Please see ihe
insrrneJianc !or more inlarrnmion. :Vn� m�ailable in all ca�mties.)
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linder penalfies o(perjury, I hereby certiti� that this Sales Uisclosurr, ro[he best ot mr knon7edgr antl beuei, �5 true, correct ana comp�e[e as
required br la�.'. and is prepared in accordance e�ith fC 6-1.1-�5, "Real Propeny Sales Disclosure AcC'. (\ote: Spouse Information, Social Securiq�
and 9nver� �censpJother numbers are not necessan if no Ilomestead Deductioo is being fiied.)
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