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INDIANA SALES 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) Company ' Princeton, IN 47670 E-mail Hugh M Fulton Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 606? N SR 65 Address(Number and Street) Address(Number and Street) , Patoka. IN 47666 1 City,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penal 'es of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and com a as r uir b la d i accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sig ature o eller Signature o Se er Hugh M. Fulton ._...,.,:..i I Printe. •- -. e ler Sign Date(MM/DD •••' Printed Name of Seller Sign Date(MM/DD/YYYY) .CherryCherry I TH- _ .- BUYER(S)/GRANTEE(S).-.APPLICATION FOR PRO•, .'_ Y TAX DEDUCTIONS„IDENTIFY. �T, Y - - _ ___,_ Jason M. Cher - Dixie D. \\__ Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyancer ument l 2220 Winding Road 2220 Winding Road • ��ff1►� ©���� Address(Number and Street) Address(Number and Street) ��� {�� Grayville, IL 62844 Grayville, IL 62844t. C,OVN 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. 11•' NO CONDITION _ -• 'I CO'•ITION Z ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead residence? Provide complete address of pri Li ❑✓ 4.Solar Energy Heating/Conlin: 'ystem residence,including county: 501 N Hillcrest Street ❑ ❑✓ 5.Wind Power Device Address(Number andStr•eet) E r b.Hy.roe ectric Power Device Fort Branch, IN 47648 ❑ z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 i complete address of residence being vacated, - •._ • -- -_•`•••`= 'de contact information including county: . below.Please see instructions • . • '• • ation. Not available in all counties.) Address(Number and Street) \ ,,rr�� Gib-on D lc) 'lot -- \g- o;- coo.o1s-VD( City,State ZIP Code :.n ty •