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Homestead_Muckerheide I 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 E SELLER(S),/GRANTOR(5 . ___.--- Keith B.Muckerheide Tami L Muckerheide Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4594 F.Carithers Road //O N [S/Drmo Ut Address(Number and Street) Address(Number and Street) Princeton, IN 47670 Oriner//7 j , fit/ 4/76.70 City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I he y certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and e a r uired by ,and is pre red in accordance with IC -1.1-5.5,"Real Property Sales Disclosure Act". Sg attire elks Signature of Seller Keith- tic el e ld- •7�, Tami L.Muckerheide /� ' — Printed Nt e o Seller Sign Date( /DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) / e h BMuckerheideSV EE(S):=APPLICATION-FOR PROPE TY TAX DEDUCTIONS ;IDENTIFY ALL_ITEMS THAT AP - --,_ Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d,3cumen 4594 E.Carithers Road Address(Number and Street) Address(Number and Street) O^O Princeton, IN 47670 �' l• / E-mail Tel one Number ���� it HE SALES DISCLOSURE F BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTH ROPERTY.IDENTIFY ALL OF THOSE THAT AP °�� YES NO CONDITION YES NO CONDITION ��G ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead G\�S residence? Provide complete address of pri ry ❑ © 4.Solar Energy Heating/Cooling System residence,including county: LI c9G t Cot4Te-, icd ❑ ❑✓ 5.Wind Power Device Cia ress(Numberand Street) ❑ 06.Hydroelectric Power Device 1°"_ 3n-k ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be El El 8•Is this property a residential rental property. vacated for this residence? If yes,provid ❑ ❑ 9.Would you like to receive tax statements f, this complete address of residence being vaca ed, property via e-mail?(Provide contact info mation including county: below.Please see instructions for more . formation. L Not available in all counties.) 6 Address(Number and Street) p2 -OS-- Z5 3ao-Doi C 4 b—_bo CT Gibson /CL/?L.j /Wue lathe l(— City,State ZIP Code County rimary property owner contact name E-mail Number License/ID/Other Number