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Homestead_Falls f. SALES DISCLOSURE FORM SDF ID Page 2 ,4EPARER • _ 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)„ ,_. . Kyle Taylor Melissa Taylor Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2022 N.Section St,Apt.2 1151 F State Rd.48 Address(Number and Street) Address(Number and Street) Sullivan. IN 47882 Shelburn, IN 47879 City,State,and ZIP Code E-mail Jnder penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ind��le ps r quired by law,and is prepared in accordance 6-1.1-5.5,"Real Pr perry Sales Disclosure Act". , / S' azure Se r Signature of Seller ;yle Taylor 11/7/2019 Melissa Taylor 11/7/2019 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) BU:YER(S) _GRANTEES .:APPLICATIO R PROPERTY TAX DEDUCTIONS-IDENTIFY'ALL ITEMS TIIAT APPLY 1 Matthew David Falls Abigail Ray Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 106 W.2nd Street 106 W. 2nd Street Address(Number and Street) Address(Number and Street) Hazleton, IN 47640 • , ES NO CONDITION 1 YES NO CONDITION GIBSOf J 71 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead cOUN t Y AUDITOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 529 W. Blaine Avenue 0 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device 'rinceton. IN 47670 Gibson City,State ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device ] 0 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ B. 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.) Address(Number and Street) 2 -12-1 p-? l7 U �., 1-Coo. 6 ZQ -02$ . City,State ZIP Code Matthew Falls/Abigail Ray County Primary property owner contact name