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Homestead_Brinkley INDIANA;iALES DISCLOSURE FORM SDF ID: Page 2 D..PREPARER- .. J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Partenheimer, Kinkle&Ricker Address(Number and Street) E-mail E,SELLERLS)IGRANTOR(S - • • - - - Sheila Almon Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 305 S Main Street Address(Number and Street) Address(Number and Street) Fort Branch. IN 47648 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". S • Signature of Seller Signature of Seller heila Almon 1/13/2020 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller- - Sign Date(MM/DD/YYYY) F.--BUYER(S)/GRANTEE(S) APPLICATION POR�PROPERTYTAX'DEDUCTI.ONS-IDENTS TH ,APPLY_- ' IJ Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveoa'i'ce document 10230 Perry Blvd (: 41,, pF� Address(Number and Street) Address(Number and Street) �� �y ) �}� Sumner, IL 62466 ' 1"N1 6 City,State,and ZIP Code City,State,and ZIP Code G`$cjCI BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑✓ ❑ 1.Will this property be the buyer's primary ''R ❑_3—Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device City,State ZIP Code County ❑ 7.Geothermal Energy Heating/Cooling Device ❑ 171 2.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 ❑ ❑ 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) City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number