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Homestead_PottsINDIA\A S:�LES DISCLOSIJRE FOR�I SDF ID 26-2009-1000664 ' 1 Pa�e 2 � n J. ROBERT KINKLE HALL PARTENHEIMER 8 KINKLE N. HART ST., PO BOX 13 PRINCETON, IN 47670 Circ Sioie. m�J ZlP Qxit 3. SELLER(S)/GR.4NTOR(S) „ . . ALAN M. WOLF Sr/!rr - A'nmr ns rrpreurs on romn'nncr Jo.vmtm 307 E. PARK STREET d&freun�`nmMrr.nd5rrceiJ ^ FORT BR4NCH, IN 47648 � 1 �� . . n . `. . . . . , ,' . . � - .. �. - _ . ATTORNEY � HALL PARTENHEIMER 8 KINKLE TefrphuceS'umAer f-rnui! Sel/rr -�'enre as opptmrs a� rnnst+'once dorum.vn AAJress (:\'enn6rr or.d Svr;i Cin'. Stntr. ond Z/P Co-fe Trlephone dLmbtr ' £-muil Tr(cyhnnc A'umFer E-moil Jnder pen:dtie � f perjun�, I hereb}• cer[if�� that this Sales Disclosure, m the betit of my kno�sledge and belief, is true, correct and �.omple[e as r uired b�• la�s, and is prepared in accordance wi[h IC 6-1.1-5.5, "Real Propert}• Sales Disclosure AcP'. � Sitmaru � �'h•r Si�neh�rcolStHe, X ,Q'�4� h1 • �?/m c<— .., //— Z'�/—o7 APPLICATIO\ FOR E-mrd/ 'HF $,1I.FS DISCLOSORF FOR�1 �IAI' BE USFD TO APPLY FOR C� 2TAL' � I. U'ill this propem be [hc buyei's primary re;idence? Provid com e[e address of priman• residcncc. includin_ count}•: 307 E. PARK STREET Addrcss f:�'��nrMr nnd Aree�) FORT BRANCH, IN 47648 Gibson C:p. Sia;e. nnJLPC«k Cmmn� r?. Does the buyer hace a homestzad to be aacated for thi: residence? If yes, provide complrce address o(rrsidenez vacatine. including county: 100recv /:4vmhvrcnJSr�retJ CIn�. Sm:r. nmlTJPCMr Cbunrv Ainlyd 1'mne af5r/ttr Sign Da+e I.ILIODD/1'f')]7 - IDE\TIFY ALL ITED4S THAT APPLI' MARY N. POTTS Bv� rr -:Vnmr at �m� ... nn mmrrnncr Ja.vmcc/ . GIBSON STREET, APT. A AAJress (:4Ynnber onASrreet) HAUBSTADT, IN 47639 Cin'. Smtr. and ZlY CoJe ( )UCTIO\5 POR l � 3. Homatead r 4 Solar e�tingiCooline System r 5. R'ind Po«•er Decice r 6. Hydroelectric Power Devict r 7. Geothennal Enzrg}' Heatine/Cooling Device r R. Is this property a residential rental property'? j— 9. R'ould }'ou like to recicve taz statements for this propem� via c-mail.' /Prm�ide cnmacr infonnaiion helm+�. Ple¢se see rhe irzvinrcliun..- ibr more inl��nnntiorr. �br m'ailab/e irr al/ co�mtieaJ �!o-19�1� �3o1-c�c .ti69- Primon� p�oprm• orcne� rornon namr B Under penaltles o� pequry. � nereo�• cernt} mat mis aa�es viscrosure, m me oes� o� m�� �:no.� icugr anu ueue�. u�� �r, �o� � r« a��� �o� required b}• la���, and is prepared in accordance with IC 6-I.IS.i, "Real Property Sales Disclomre AcP'. (�ote: Spouse Information, and Driver's Licenseluther numbers are not necessarc if no Homestead Deduction i�bein� fil�d.� ,\'nmc oJ Bvrcr ///1 � � A'umMr �5 Securitv