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Homestead_Perry INDIANA SALES DISCLOSURE FORM SDF ID: q/(io Page 2 D.PREPARER' . J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street,P.O.Box 13 Partenheimer, Kinkle&Ricker Address(Number and Street) Company Princeton, IN 47670 E-mail E SELLER(S)/GRANTOR(S) '<" Rita J.Barton Jeffery Brian Barton Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5868 S. 175 E 535 W_lllinnis Street Address(Number and Street) Address(Number and Street) Fort Branch,IN 47648 Princeton- IN 47670 ((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 let as require y law,and is prepared in accordance with I -1.1-5.5," eal Prope Sales Disclosure Act". ,it eoc_2 • Signature of Selle / ' mture Rita J.Barton 10/ /'9' 12016 Jeffery Brian Barton 10/ ! 7 /2016 Printed Name(Seller Sign Date JMM/DD/YYYYI Printed Name of Seller Sign Date(MM/DD/YYYY) F.BUYER(S)f GRANTEE(S) APPLICATION-FOR-PROPERTY.TAX DEDUCTIONS—IDENTIFY ITEMS THAT APPLY ' '' Jennifer L.Perry Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document A 1r2 (Number and Street) Address(Number and Street) Pit 41— "c,i FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION EZI ❑ 1.Will this property be the buyer's primary WI ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 117 N.Main Street ❑ 05.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device Patoka,IN 47666 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B.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: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) 1 JenniferL.Perry - �lQ OLk-.Dyr� -O00 .93- ®a( City,State ZIP Code County Primary property owner contact name E-mail Other Number