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Homestead_Walker
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER E - _.-7-- _._ Tt zo-• -- - - --- 1. Di'' ..._9,a-�-- I— s ('^ n:: . J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton. IN 47670 E-mail ---_ - - ., - -. _. -.i .- r, ..E..SELLER(5)%GRANTOR(5) � ,- ... • � e.,. :_ ...,. h. S• vs s . L: a- ,.+ 44 r•_t=: .,,f,- - . . Hugh M Fulton Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 6062 N SR 65 Address(Number and Street) Address(Number and Street) Patnka IN 47666 E-mail Telephone Number E-mail Under penalties of per' ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comp as a red b 'law,an ' rep - In accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sigr lure ofSelle Signature of Seller Printed Ara', Sian Dale(M.H/DD/ITn) ------, Printed Name o Seller tan Date(MM/aDIMI) F;13 R(S)/GRANTEE(S)=APPLICATIONFOR IIPE �a3CDERNTIONS ,IDENTIFYALLITEMS-TH u El _ - Sybil A.Walker J Buyer I-Name as appears on conveyance document ryer2-Name as appears on co eln oo t 123 W. Kentucky Street t�lA\9 ddress(Number and Street) Address(Number and Street) �,`(� Prin 47670 \'U k�l'�T E-mail Telephone Number �VN E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P NTIFY ALL OF THOS YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's prim 0 ❑ 3.Homestead residence? Provide complete address f primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device City,State ZIP Code eothermal ng/Cooling Device County ❑ ❑ 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 ❑ ❑ 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: or -• ..,tion. Not available in all counties.) Address(Number and Street) - ibson a,t_o__ D,kg- I _003 307-0a8 III City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number