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Homestead_Myers
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2•tViP,REFARER- , - ;: =x° ={: it. :r•t. . - , _ _ A'-tom_. - -.r r: ,' J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Tide • 219 N Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company _Princeton,IN 47670 812-386-0050 jrkinkle @hok-law.com City,State,and ZIPCode Telephone Number E-mail ....LLER(S.'/GRA'NTi.R(S.} x` `° -. . . ...-...... - z ''t7—""`—��'—"_, , _ _ R .. my Yl.i i • t i L�J a n 1 'i' 3:-..2 John E Wilkison Sr Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document _1192N Old US Hwy 41 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 and p JTe as -quir:d b d is ! e eared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". • S nature of Seller Signature of Seller John E Wilkison Sr 0VA2760/l9 _ Printed Name of Seller Sian Date(MM/DD/M1) Printed Name of Seller Sian Date(MM/DD/YYYY) (;Et;BUYER(SAGRANTEE(Sj AP,P,ItICt1TIQNjEQR1P;RQPERVE T9XiDEDU_KIQNSmIDENTIF,tYt!AYNCIIIEMSP!I ATiARP,MS- '.`t--K'-sW "°=-1 y Myers B uye rl-Nameas appears on conveyance document Buyer 2-Name as appears an conveyance document Eri• 109 dd Mary Ann nd Dr. Address(Number and5treet) Address(Number and5'trrs[) Patoka. IN 47666 M4Y THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT'A ^K/N'YJ4r.7Y! YES NO CONDITION YES NO CONDITION COUnf,,,TYAtin _ - 0 111 1.Will this property be the buyer's primary Q ❑ 3.Homestead UR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 109 Mary Ann Dr S.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Patoka, IN 47666 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2 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 ❑ ❑ 9.Would you like to receive tax statements for this complete address of residence being vacated, property via&mail?(Provide contact information including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Stmt) aG -oi- -dad- coo. ,rd/-0a-`) City,State ZIP Code County Primary property owner contact name E-mail