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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D: PREPARER:_, t_ T :7: T_- I r i
J.Robert Kinkle _Attomev
Preparer of the Sales Disclosure Form Title
219 N. Hart St., P.O. Box 13 Partenheimer,Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 rricker @hpk-law.com _ _
City,State,and ZIP Code Telephone Number E-mail
K SELLER(S)%GRANTOR(S)L_ _ _ : -1- ---±7. . '- _1
Joshua R.Taylor
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
904 S Washington Street - _
Address(Number and Street) Address(Number and Street)
_Princeton, IN 47670 _
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
ann t �t re as squired be,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
iL'p
ere of Seller ' Signature of Seller
Joshua R Taylor 10/17/2017
Printed Name of Seller Sign Date(M.M/DD/YYYY) Printed Name of Seller Sian Date IMM/DD/YYnt
!F.-BUYER(SVGRANTEE(S) APPLICATIONiF,OR,PROP:ERTY(TAV DEDUCTIONS=IDEN,TIFY_ALL.ITEMSITHAT aRPIN -7_ 1__I
Racier D. Denbo Maxine L. Denbo
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documen �y''1s
316 S. Gibson Street 316 S. Gibson Street LE,D
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton. IN 47670 OCT 1 S 2n1/
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSETHAYAPPLY.I COUNTY AUDITOR
YES NO CONDITION I YES NO CONDITION
I7] ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence, including county: ❑
5.Wind Power Device
904 S Washington Street
Address(Number and Street) ❑ [7] 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
5
❑ z 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.) /�/I D
Address(Number and Street) �W - / — 1- /D' —dOD, /( a-oaO
Roger D.(((C..&Maxine C (Deenbo
City,State ZIP Cade County
Primary property owner contact name E-mail