Homestead_Meadows (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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
Number E-mail
8.:8ELIERI8ViditART OM,-:' -.- -: , L„' „:4' ':1 '':',:'', ' • ,,::' - ':--,:, ,," , • •,,-._:,!,:,;_-11',„_:L
Andrew Unversaw
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1120 Carol Avenue
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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 co lete as requir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature a Seller Signature of Seller
Andrew Unversaw 10/30/2020
Printed Name of Seller Sign Date(MM/DDIYYYY1 Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BtJYER(S /GANEECS,..*4ilt,:L.le AtioN_goitMVatYstAROgpoetioNs...10tNTIPY ALL IUMs TI-f-AtAY,PlAr -:-.. _, :„ ,?.___,,,.::..
Andrew D.Meadows .1.
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documen.r '
1044 W. Private Road 275 N
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Address(Number and Street) Address(Number and Street)
Petersburg, IN 47567 Not/ .,-
City,State,and ZIP Code City,State,and ZIP Code 4 a
mail Telephone Number crislo„,v4 .
c•U E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE Tlik
YES NO CONDITION YES NO CONDITION &A
'VT _
71 ri 1.Will this property be the buyer's primary 171 o 3.Homestead r.leit,
residence? Provide complete address of primary III I71 4.Solar Energy Heating/Cooling Sysf*
residence,including county:
0 El S.Wind Power Device
1120 Carol Avenue
Address(Number and Street) 0 WI 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson 0 Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 0 8.Is this property a residential rental property?
o Er 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide III EI 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)
CZ -he-/,-/a3- aD3. &,,,7-
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number