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Homestead_Davis (18) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Dt RREP.ARERe ., - — -- -- - -J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St.. PO Box 13 Partenheimer. Kinkle 8 Ricker Address(Number and Street) Company Princeton,IN 47670 812-386-0050 irkinkle(@hpk-law.com City,State,and ZIP Code Telephone Number E-mail .E:.SELL•ER(S)/-GRANTOR(S)L_ _- _ -- - _ . . _ _._ � . v. _ . . -- — Terri R White Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8026 S 1250 W ttFl�L�J'_l� LED Address(Number and Street) Address(Number and Street) Poseyville IN 47633 City,State,and ZIP Code City,State and ZIP Code NOV1 Z018 hereby certify that this Sales Disclosure,to the best of my knowledge ,if e,correct nd c plete as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro d edtliaglpsurgiafi'AR Signature of Seller Signature of Seller Terri R White - 10/31/2018 Printed Name of Seller Sian Date(MM/0O/YYn) Printed Name of Seller Sign Date IHM/OD/YYYYI _E%BUYER(S)(GRANTEE(S);_ARP:LIGATION;F O.P,RROPERT_TaDEDUCTIONSLIDENTIF_WALLyITEMSITHAFMPREY: _ Madison A. Davis _ Buyer I•Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9825 S.850 W. Address(Number and Street) Address(Number and Street) Cynthiana, IN 47612 E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead • residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: - 8026 S. 1250 W. ❑ 05.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Poseyville, IN 47633 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 ❑ ID $•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.) �� Address(Number and Street) �..01' Madison A.Davis-. t . -1,-• 19'300-o01 -gs4 - City,State ZIP Code County - - ---" Primary property owner contact name E-mail Number License/ID/Other Number