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Homestead_Bacon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 1D;PREPARER. -� - 't —_ – — -- — --] J. Robert Kinkle Attorney Preparer of the Sales Disdasure Farm Title P.O. Box 13,219 N. Hart St. Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinkleehpk-law.com City,State,and ZIP Code Telephone Number E-mail 7 - --- --_' - – --- -1---;;___:- - _ ._ - �E..SECL'ER(S)%GRANTOR(S)w��� - —� .��`-:� �— ' ., r —'_ . . �--=--I April Shannon Grangier f/k/a April Shannon Pinkston Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document P O Box 333 Address(Number and Street) Address(Number and Street) Patoka IN 47666 Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a b/w omplete required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". l Tn l Signature of5eller A hannon Grangier 6/29/17 Printed Name o(Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/MY) F,,BUYER'(SY/,GRANTEE(S)kA6P.L'ICATIONLFO.R:PROPERT2YLTAX,DED,UCTIONS_WENiT1EYAL'L' ITEMSTHAT'APP,EY_ __ _i Brenda J. Bacon Chad Lynch Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 825 W. Broadway,ADt.A 825 W. Broadway,Apt.A Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Princeton, IN 47670 ®]�� THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL 69.y j:At, AT APPLY. C0/2 YES NO CONDITION I YES NO CONDITION N C'O 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead vti7-)... residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/(:60$9.g System residence,including county: O 108 W Poplar Street ❑ n 5.Wind Power Device R Address(Number and Street) ❑ ILI 6. Hydroelectric Power Device Patoka, IN 47666 Gibson _ ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 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 ❑ II 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. Not available in all counties.) Address(Number and Street) a6, –Oy_ay- 30Q ct 7 3 /0 OQO Brenda J.Bacon City,State ZIP Code County ------- Primary property owner contact name E-mail