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Homestead_Byers (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 iD PIRE PARE Bit'--'7._..-;. i.:,;> • .- , .r.�a. : . ` IT ;-' r ...-.}aF. ` •T .` e•';••r`—` Y: i-!'.,.+«.� 7 1.•4.'- J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(Whpk-law.com • City,State,and ZIP Code Telephone Number E-mail IE::SELLER(S)/•GRANTOR(S) t-: •I., -- 4-r /. ">'-T -" -a. I ogan D Davis Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2104 Taylor Aveue 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 c mplet7s required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". ArSe Signature of Seller I ogan D Davis 12/18/2017 Printed Name of Seller Sion Date(MM/OD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY) IE BUY,ER(S)/G-RAHIEE E(S)13LA-PELIGATLQNtFQRM ORERTIY¢TAXADEDUCTIQNStIDENTIFYe Afili;ITEMSFTjHAT`AP.PL'_Y F _ 11 Kelly William Byers Jennifer Lynn Byers Buyer 1-Name as appearson conveyance document Buyer 2-Name as appears on conveyance document 104 W. Ulen 104 V Address(Number and Street) Address(Number and Street) MA YES NO CONDITION I YES NO CONDITION G/:_ _ •_� 0 ❑ 1.Will this property be the buyer's primary 2 ❑ 3. Homestead Co,, '4'1�v residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cool © iffgaypti,1 residence,including county: �1,p1 2104 Taylor Avenue ❑ IN 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County I7] 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 ❑ g 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. 104 W. Ulen Street Not available in all counties) Address(Number and Street) 77�� 210-1 -o S-ZO / -cr0 /, �o{ - Ua Fort Branch, IN 47648 V I Gibson Kelly William Byers 8 Jennifer Lynn Byers City,State ZIP Code County Primary property owner contact name E-mail