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INDIANA SALES DISCLOSURE FORM SDF ID Pa e 2
�D.PREPARER," _.'�.-, --� - :�..-. '; .a _ ; ��T -`"--- ��.: _ 'x - �i . �. -`._���--� ,
J. Robert Kinkle Attomey -
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19 N. Hart Street PO Box 13 Hall. Partenheimer & Kinkle
Address(NUmbvandSVezt) Company ,
Princeton IN 47670
Email
ErSECLER S .GRANTOR S `. -`- �-':?_., y = €°=� __ � ' -
.loan L Jenkins Haves
Seller 1- Nome as oppears an mmeyvnce dacumenr Sellei 2- Name as appears on ronveyvnce docvment
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AdQru�(A'umbQerand5trret) Addrest(Numb¢rmd5treet)
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Under penal[ies of perjury, t hereby certify that this Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, correct
and com te as required by law, and is prepared in accordance with IC 641•5.5, "Real Property Sales Disclosure Act".
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F; BUYER S GRANTE6 S- APPCICATION?F,OR PROPERTY TAX DEDUCTIONS .IDENTIFY ACti ITEMS.THAT AEPLY�= � _ �:� -'
Ashlev N. Kiesel
Buyer 1- Name as appears an ronveyonce document Buyer 2- Nome as appears om m�veyonce davmwt
207 Vine Street
Ad r¢c(Numbera+MS�cef] Address/NUmberandStreet)
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ry, Sruce, and7JPCOde Ciry, Srnfe, md ZIP Code
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TNE SALFS �ISCLOSURE FOItM MAY BE USED TO APPLY FOk CERTAIY DHDUCf10\5 FOR THIS PROPER7Y. IDE,YfIFY ALL OF TNOSE THAT APPLY.
YFS NO CO.�'DITION YFS NO COYDITION
�✓ � 1. Will this property be the buyer's primary � � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county:
� �✓ S. Wind Power Device
Addras(NumbermdSVeet) ❑ ❑✓ 6. Hydroelearic Po�ver Device
Q'ry,SrureTlPCode co��ry � � �� Geothermal Energy Hea[ing/Cooling Device
� � 2. Does the buyer have a homes[ead in Indiana to be � ❑`� $� �s this property a residential rental property?
vacated for [his residence? If yes, provide ❑ ❑ 9. Would you like to receive tax statements for [his
complete address of residence being vacated, property via e-mail? (Provide contatt information
including county: 6elow. Please see instructions for more injorma tlon.
Not availa6le in all tounties.)
Addras (NUmberund Svee[J
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Pnmaryproperryownerconm¢name E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 64.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduction is
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s Smre LastSDigiao/SonalSecuriryNum6er LastSdigi[so%Buyer2/SpouseDnver's State LastSDigi[soJSocial5ecunry
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