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Homestead_Dyer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;linEP.ARER — x -. .,= Strif;, '3 t±f: x4 = cc - - - T) Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide P.O. Box 13,219 N. Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(a)hok-law.com City,State,and ZIP Code Telephone Number E-mail (ELSEELER(SVGRANTOR(S) __.. .,ip?, - 4 _ r2. t f r •- Steven R.Taylor • ..W is G Taylor Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document 125 Swallnwfield Drive 125 Swallnwfield Drive Address(Number and Street) Address(Number and Street) Princeton IN 47670 Princeton IN 47670 Und:. and c• •rT a,l es • • • 'u I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a- r uired(L - Signature and is prepared in accordance with IC 6-1.1-l5(J5," eal Property Sales Disclosure Act". X f a of Seller Signature a/Seller if_ Steven R Taylor 04/28/2017 ' Q.Taylor U 04/28/2017 Printed Name of Seller Sian Date(MM/DD/YYY) i Printed Name of Seller Sian Dote(MM/DD/YYYYI SF::BUXER(Sf/.GRAi vEUE(S)LA P.PtiICATION;Rae EDP ERTYLPODEDUGTIONS_(DENT'EriaiLI.ITtEMSiTHAT'AEPEY� :o. '` " ) -E E-mail THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLEYiy�; . . YES NO CONDITION YES NO CONDITION '9G � ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead �.TO residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Systtm residence,including county: 1 25 Swallowfeld Drive ❑ 12 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton,IN 47670 Gibson ❑ 1 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County � ID 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 ❑ EI 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. 830 S. Deer Haven Drive // Not/availo a in all counntiessJ.) J// Address(Number and Street) a1 O—fig-Q(n —%cv - DO�J- ] S7- Op( d Princeton, IN 47670 Gibson John W.8 Ruth A.M.Dyer City,State ZIP Cade County Primary propertyowner contact name E-mail