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Homestead_Monroe (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Roman Ricker Attorney Preparer of the Sales Disclosure Form Tide 219 N.Hart St.,P.O. Box 13 Partenheimer, Kinkle 8 Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(@hpk-law.com City,Stare,and ZIP Code Telephone Number E-mail E.SELLER(S)IGRANTOR S — Y,_, 77 . ±:" Matthew A Monroe Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4 W Red Bank Road 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 co re fired by 1 ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Matthew A Monroe 912112017 Printed Name of Seller Sian Date(MM/DO/YrvI Printed Name of Seller Sign Date(MM/DD/YYYY) F.BUYER(Sj/GRANTEE(S) APPLICATION:FOR,P,ROP,ERTY L_TAX:DEDUCTIONSIDENTIFY,ALLITE SCTHAT,APPLYI_' Katherine Ann Monroe Y Buyer I-Name as appears on conveyance document Buyer2 Name as appears on conveya acu t spY��� 7883 S.Andee Lane "" -�._s' Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 ('Co 2 7 )01, THE SALES DISCLOSURE O\DIT108FORM MA1'BF.USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PF-80PER Q IDENTIFYALL OF THOSE,{Il/xrr-blrVits•' Allp/TOR YES NO❑ 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: ❑ is 4 W Red Bank Road 5.Wind Power Device Address(Number and Street) ❑ 21 6.Hydroelectric Power Device Fort Branch. IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ig 8.1s this property a residential rental property? vacated for this residence? If yes,provide ❑ 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.) V Address(Number and Street) 2 t0-/Q- 24 -&Qt) - . 298-aalo Katherine Ann Monroe City,State ZIP Code County Primary property owner contact name E-mail