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Homestead_Moore (3)
INDIANA SALES DISCLOSURE FORM SDF ID:_ Page 2 D.PREPARER . . . J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart St., PO Box 13 Partenheimer, Kinkle& Ricker Address(Number and Street) E-mail E.SELLER(S)/GRANTOR(S) . Fagle I imited Liability Company Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9653 F.450 S Address(Number and Street) Address(Number and Street) Oakland City IN 47660 City,State,and ZIP Code City,State,and ZIP Code 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 , ple . -•qdd by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Rick Falls, Member 9/30/2019 Printed NamesfSeller Sign Date(MM/DD/YYYY) Printed Name o Seller Si.n Date(M/DDLYYYYJ F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY,TAX DEDUCTIONS-IDENTIFY ALL ITEM.I TIPL ED . : ar L. Moore ri u erl1..Name-as ppears on conveyance document Buyer 2-Name as appears on conveyance document 9870 E. 550 S. OCT 1 2019 Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 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 YES O.NDJTION 0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestea residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 222 S.Main Street ❑ 05.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Oakland City, IN 47660 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 El ❑✓ 8.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.) �j Address(Number and Street) a 4 - /y -!8- 30 Y - 00 o, b Y ? -0 0 / Barry L.Moore 7 City,State ZIP Code County Primary property owner contact name E-mail License/ID/Other Number