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Homestead_Burch
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 tPRE c ri c ?-- "i "'—i a x- 'h• _ . . J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(ahpk-law.com City,State,and ZIP Code Telephone Number E-mail tffgRE. LTER(s)%GRANITOR(s) - d, —"T---- • . -- - .. Rosemary Harbison by Susan E Woods POA Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document 423 W Milberg,Street Address(Number and Street) Address(Number and Street) Princeton IN 47670 Under penalties of perjury,I hereby certify that this Sale Disclosure,to the best of my knowledge and belief,is true,correct and lete as required by law,an[[d is pr ared in ac r ce with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seiler AL4L- --c-''L Signature of Seller Rosemary Harbison by Susan E Woods POA 1 /31/2018 ppyy-- Printed Name o/Seller Sian Date(MM/DD/YYY1) Printed Name of Seller PI rDD/rvn) 1 BUYER(SN-RANTEE(S�LAPPL Gi ATIONTF,ORIERORERTYCTAXIDEDUCTION-SilDENTIFd';,AITIM STHAIpvSpa - f—T1 Janey L.Burch Nov 2 Buyer)-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9018 423 W.Mulberry Street Address(Number and Street) Address(Number and Street) G • Princeton, IN 47670 Gm C , THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5.Wind Power Device 423 W Mulberry Street Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton, 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 ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ RI 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. 375 E. Old Petersburg Road Not available in all counties.) Address(Number and Street) ' Princeton, IN 47670 Gibson Janey L.Burch — a�-(�-0 1 303- bfla• `_'I DO— CityStateZIPCode County ✓� pp Primary property owner contact name Da p E-mail