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Homestead_Harper (5)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 J. Robert Kinkle Attorney Preparer ofthe 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 jrkinkleOhpk-law.com City,State and ZIP Code Telephone Number E-mail MSELLER(S)%GRANT,OR(S)1 = .-r.: ' <` "°_�- - 7 '< ;- . ftiNtpricp;ffs, BETTY 11 14, KRL Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 34 Pony Meadows 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 an ornplete as re wired law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". t\C_ Signature ofSe. Signature of Seller KvKRt�� X��_ \ Petty K+it* t,ns nervised Co-Personal Rep Printed Name of Seller Sion Date(M.M/DD/YYYn Printed Name of Seller Sign Date(MM/DDMTV) [FtBUXER(S)%GRANITEE(Sifel PLICATION O P,ROPER•'fiYh TODEDTCTfQA–.'�Sa"i1DENTIFMAL'LC:ITEMShl—AIMP,P,LY -®:5 Betty L. Hamer Buyer 7-Name as appears an conveyance document Buyer Z-Name as appears an conveyance document _322 S,Gibson Street Address(Number and Street) Address(Number and Street) Oakland THESALESDISC LOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPf31BS ON COUNTY AUDITCR YES NO CONDITION YES NO CONDITION 0 ❑ 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: ❑ ❑ 820 N Main Drive 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson- ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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. 322 S. Gibson Street Not available in all counties.) Address(Number and Street) Oakland City, IN 47660 Gibson Betty L.Harper �to�4-$- ta-Cto //n� y7 t'b9 City,State ZIP Code County Primary