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Homestead_Frantz
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 biPREPARM-P. : <"`_ . _ . '_,_ '_ Leon C. Stone President Preparer of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 bti(amw.twcbccom City.State,and ZIP Code Telephone Number Email E.SEHER(SAGRAN,TORRS)L — ---- ------ Mildred R Vollman Trustee of the I en H Kissel Testamentary Tnlsi Kenneth L Kissel Trustee of the I eo H Kissel Testamentary Trust raji}..Name asappear nvevean cumen( Sell fr�Z-Name as appears onconv ncedxment 7---1140/.4_,p-€11/ .74..e.e„,,..,,,_. Adddris(Number and Str --/ Address(Number and Street) 74'757 Shen Pr,'ve, &0 s1/11c IOC/97725 £/ /q ees-kr ici Wc„los,.�II', //t/ 971 and corn r lete as requi by I. ' and is prepared in accordance wit IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signato e a eller / / Signature of Seller �/ Mildred R Vnllman Trustee Osf//6J oi9 Kenneth L Kissel Trustee /JOG/0?2/ t� Printed Name of Seller Sian Da. LHM/ /1'YY) Printed Name ofSeller. ate(MM/DD/YYY) ' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIi IS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 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: ❑ 12 5.Wind Power Device 101 S Haven Drive Address(Number and Street) ❑ 2 6. Hydroelectric Power Device Haubstadt. IN 47639 Gibson ❑ 2 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode - County El ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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. 434 Peach Street Not available in all counties.) Address(Number and Street) �Qr Lynnville, IN 47619 Warrick A6- 12 -56 _Lk Qi-t - 000- I2 -Oof City,State ZIP Code County Fail property owner contact name