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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 I)::PREPARERi- 47'5: --- -r — . • - a 2----,-----� -bT — . --7-__ ------ -i J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title P.O. Box 13,219 N. Hart Street Partenheimer,Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkle(@hpk-law.com City,State,and ZIP Code Telephone Number E-mail E:.SELCER(S)%GRANTOR(SJET__7 ,_ 7-_ -_, _ter- -__-,�__ _ Jeffery Frvin Schumacher Michelle Marie Schumacher Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document P O Box 492 P U Rox 492 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 an r complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". I _ bi ghu, .. II YIA-1 SS Mr ., y,.L4c R Sig 1.. ever f KJ r X. $ es Jeffery Frvin Schumacher ' 066/06/2017 Michelle Marie Schumacher 06/06/2017 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 915 Chickasaw Drive ❑ ig S.Wind Power Device Address(Number and Street) ❑ Ii 6. Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ E1 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 71 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. 302 N.Tenth Street Not available in all counties.) Address(Number and Street) at,-lc? -)8 - a oo CU f- 3 to 9 ca ( Princeton, IN 47670 Gibson Da Le Zheng and Xiu Lan Lin City,State ZIP Code County Primary property owner contact name E-mail