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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 `Di-PREP.AREk--- -7:"' 31: 7.7L . _ ._ — C_ r _ 1 J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle&Ricker Address(Numberand Street) Company Princeton, IN 47670 812-386-0050 irkinkle @hpk-law.com City,State,and ZIP Code Telephone Number E-mail ES.SELLER(S)%GRAN■ OR(S)+• - T _- .— Gary D Ranard Charise Ranard Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1454 S Metro Drive 1454 S Metro Drive 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 and compl e s require t by w,and is prepar in accordance with IC 6- .1-5.5,"Real Property Sales Disclosure Act". i A 0.•t�CEt( _ �� Signature ofSellel Signature of Seller Gary D Ranard 8/10/2017 Charise Ranard 8/10/2017 Printed Name of Seller Sian Date(MM/DD/YYY'I Printed Name of Seller Sian Date(MM/DD/YYY11 'Ft'kBUYER(MGRANTEE(S)1°-.AP,RLLI ICATIONiFO1-11-PR'OP,ERTY6AX4DEDJ GTIONSIMENTIFY--yt1; X ` - -1 Judy A. Rehlander p -I Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 6070 Forest Villas Circle AUG 1 1 2017 Address(Number and Street) Address(Number and Street) Fort Myers, FL 33908 THE.SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION (I ❑ 1.Will this property be the buyer's primary ( ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating/Cooling System residence,including county: 1454 S Metro Drive ID IN 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County Ill 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 ❑ M 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) Judy A.Rehlander a6:0- 1L-13-,309 - 00119 Gal City,State ZIP Code County Primary property owner contact name E-mail •