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Homestead_Windes
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 b`PREPARER "St[' 1 ' - # ' e+ i .111.. i': i... ":..i ' ", - 4 ',,u ,} Ti.fi=.-1: 4 -"._.u,. . ` :5- .z1 Roman Ricker Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St., PO Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) Company Princeton. IN 47670 E-mail E.SELLE Fit S)/,GRANTQR(S),,__a. u., .:_ •.r a& " : . ;`' -".1 uL_ t Q a �[_s ..z_l _ J_l� -5a =ta ..�__.�3 Kayce Carol Bartell Seller I-Name as appears on conveyance document Seller 2•Name as appears on conveyance document 617 N Main Street Address(Number and Street) Address(Number and Street) Princeton IN 47670 city,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". IL CO) COLCA BitteDQ Signature of Se ler Signature of Seller Kayce Carol Bartell 8/28/2019 Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date IMM/aoryYYv1 F. BUYER(S)/GRANTEE(S) APPLICATION.FORPROPERTY_TAx.DEDUCTIONS=IDENTIFY AL'L ITEMS THATAP.PLY _ I Tyler R. Windes ylie M. Wndes Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu t 116 Risley Avenue 116 Risley Avenue �_, A^. 0 Address(Number and Street) Address(Number and Street) '4—_/ Mount Carmel, IL 62863 Mount Carmel. IL 62863 QU_ri 3 City,State,and ZIP Code City,State,and ZIP Code 2 p19 OF THOSE THAT APP4A(,/NT-Ty YES NO CONDITION I YES NO CONDITION "'Ur)„ 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead UA' residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 617 N Main Street ❑ ❑✓ 5.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 ❑ 0 2. Does the buyer have a homestead in Indiana to be ID ID 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 9.4Vould 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 coup e Address(Number and Street) o?G- /a —0 7-/0a-00/ - Oat Tyler R.&Kylie M.Windes City,State ZIP Code County Primary property owner contact name E-mail