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Homestead_Sandy INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 !.DiIP,REP:ARER s• .r rt*'. . 9;t' ''t'.?;%E_ x. 4 _ - , - , Lb°"ti �ti - _ _c r;-',277.74-174— - _ ..cdi J. Robert Kinkle Attorney • Preparer of the Saks Disclosure Form Tide P.O. Box 13, 219 N.Hart Street Partenheimer, Kinkle& Ricker Address(Number and Street) Company ' Princeton. IN 47670 812-386-0050 irkinkleehok-law.com City.State.and ZIP Code Telephone Number E-mail ,E!ISEIlLER(S)%GRANTOR(Sl "'"' =w . Joan M.Waller .loan NI Waller • Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 1872 Cottonwood Drive 1822 Cottonwood 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 complete ass�required by aw,and is prepared in accordance wI IC 6-1.1--S.5,'Re Propee�r , les/�g�i cc/j��/o7sure A PV. I )W- ' b • api., , I / f lzE 1/t ie - r��� Signature of Seller Signature of Seller ,Loan M Waller by I isa 1 Clark Attorney-in-Fact 5/7/7018 ,Ilan M Waller by Mare&Y Waller Atty-in-Fac1 517/2018 Printed Name of Seller Sian Date(MM/OD/YYYY) Printed Name of Seller Sion Dote(MM/OD/rvrv) $BYErMillGRANTIEMNTRLI ATIONFOReRRORER41YTDISaiTFYTALIfTEKA-11 11T.Pe1?_�. c "7 Dale A. Sandy Diane E.Moade Buyer I-Name as appears on conveyance document Buyer Z.Name as appears on conveyance dotes t 305 E. Main Street 305 E. Main Street I/ Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALLl10o5T APPLY. ,V YES NO CONDITION YES NO CONDITION O y(s i Q ❑ 1.Will this property be the buyer's primary 1 ❑ 3.Homestead OOA/Tyq residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Conte ystem residence,including county: OO 695 S SR 57 ❑ ig S.Wind Power Device R Address(Number and Street) ❑ M 6.Hydroelectric Power Device Oakland City, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ 0 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 ❑ 0 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.) �T Address(Number and Street) Z (0 — l LI — I 3 _ 117 I 000 SS / 00 6 Dale A.Sandy&Diane E.Moade City,State ZIP Code County Primary property own er contact name E-mail