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Homestead_Perry (22) I INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 iD,PR_E-PARE -- 1.7, - , T- - -s___T-- Roman Ricker Attorney Preparer of the Sales Disclosure Form Title I 219 N. Hart St., P.O. Box 13 Partenheimer, Kinkle& Ricker I Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rricker(tilhpk-law.com City,State,and ZIP Code Telephone Number E-mail F SEL'CER(S)%GRANTiOR(Sjl -- - -----. -- -- - -L7 - - - - -7 -- '..,---7. - . -. , 1 Tamera Sexton Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 217 F Walnut Street Address(Number and Street) Address(Number and Street) Princeton IN 47670 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and co I ete as required by law,and is prepared in accordance with IC 6-1.1-S.S,"Real Property Sales Disclosure Act". Signature of-Seller Signature of Seller • Tamera Sexton 11/3/9018 Printed Name of Seller Sian Date(MAI/DD/YYYY) Printed Name of Seller Sian Date(MM/ao/YYYY) IF:_BWER(S)`/GRANTIEEPTZA IEICAT10NI,E0Ryl?RORERTIY!TAX^DEDUCTIONS IDEN;TIFYALLJTEMST N APPL`YT -It . Janet R. Perry Buyer I-Name as appearson conveyance document Buyer 2-Name as appears on conveyance documen 2308 E.Top Hat Road Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Nov THE SALENDISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY TLOL OF THOSE THAT APPL17Ufi)r 'lira . ' YES S CONDI N 0 ❑ 1.Will this property be the buyer's primary EZ1 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 217E Walnut Street ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ Z 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County III IZI2. 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 ❑ El 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) !� -1Q ^�/� Janet R.Perry � ZU-I a' b1 ' a03-tb1 . 1 lu ' O City,State ZIP Code - County Primary property owner contact name E-mail