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Homestead_Hicks (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - I J. Robert Kinkle Partner Preparer of the Sales Disclosure Form Title 219 N Hart Street, PO Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, Indiana 47670 E-mail E.SELLER S)LGRANTOR(S) - _ - — Andrew P Johnson I ydia G Johnson Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 691 S Concord Drive 691 S Concord Drive Address(Number and Street) Address(Number and Street) Princeton, Indiana 47670 Princeton, Indiana 47670 • E-mail Under . •nalties e p ' ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and :e m, eta:s • e r d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". -66_ct. X .TRA,Nrov, Signature of Seller Signature of S ler Andrew P Johnson 6/19/2020 Lydia G Johnson 6/19/2020 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) , S r/ :'. NTEE(5)-APPLICATION FOR-PROPERTY TAX DEDUCTIONS--IDENTIFY ALL ITEMS THAT APPLY ' .Corey Hicks Cassie Hicks rewire-a ,,,•, on conveyance document Buyer 2-Name as appears or co e n docu n ,. 529 S Stormont Street 529 S Stormont Street: 7 / -it • Address(Number and Street) Address(Number and Street) YES NO CONDITION NO CONDITION OUNTY AUDITOR 0 ❑ 1.Will this property be the buyer's primary 7 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.So ar gy Heating/Cooling System residence,including county: 691 S Concord Drive ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Eij 6.Hydroelectric Power Device Princeton, Indiana 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 ❑ ❑✓ 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: belo ' -s - -- 'I ructions for more information. 529 S Stormont Street Not available in all counties.) Address(Number and Street) Princeton, Indiana 47670 Gibson -.-- ^ l -v-IQ I-o0Q . Ll 0 I ^ 029- City,State ZIP Code County Primary property owner contact name E-mail