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° INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
FD.11413-..AkER,1 1 --`' k''' - ' ' ' - ":' 6'7' ' , ' ' .
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
Fstate of Kathleen N Burdette
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12368 E 100 S
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c m ete s required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".i ature Seller Signature of Seller
Elizabeth A. Carlisle. Personal Rep 8/12/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
.F.-13UYERD/GRANTEE(S),-,APPLIGATION FORBROPERTY TAX DEDUCTIONSt IDENTIFYALL trEm§:tHAT,Apro . ,:J .
Ruby A. Sloan
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
402 South Center Street I •,. ,
Address(Number and Street) Address(Number and Street) i
fy' 7,4,4
Francisco, IN 47649 q . ',-
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. 0 9?ft
YES NO CONDITION ;3 4
, NO CONDITION Gik/S ) L
0 1.Will this property be the buyer's primary 0 3.Homestead ON_oui--,-" ,_____.
Ai-;- ---
residence? Provide complete address of primary 0 Z 4.Solar Energy Heating/Cooling Sy'Sffiv_
residence,includin_gcounty: ,...7),,
12-V7(49 CI C (00 0 0 S.Wind Power Device
Address(Number and Street) . , 0 WI 6.Hydroelectric Power Device
0 041 0,..A C A#1. (.,0 47(,, I _O_Lfo56,‘ 0 Z 7.Geothermal Energy Heating/Cooling Device
City,State lP Code County
El El 8.Is this property a residential rental property?
0 Ai 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide E 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 ounties.)
Address(Number and Street)
Gibson _dC-/ -1600 - a/DD, //9-6r1
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number