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INDIANA�:ALES DISCLOSUREFORM SDFID: Pa e2
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J. Robert Kinkle Attomev
Preporer o(the Safa Diulasure Form Ttle
19 N. Hart St. PO Box 13 Hall Partenheimer & Kinkle
Addres(Numberond5treet) Company
Princeton. IN 47670
E-mail
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�E: SELLER S ' GRANTOR S °-`� '`� _ - s��. # -��� `-'��_ , � ;
Rohert D.Troy
Sellerl-�^ onronveyanredxument Seller2-Nameasappearsomm�veyvnredxumenf
RR21 Lot?7
Address (NUmber andSVeeQ Addr¢s (Number and SVee[)
Carmicheals. PA 153?0
Ciry,Slate,and7lPCode � Ciry,Smte,and7JPCade
E-mall TNe honeA'umber E-mail
Under penal[ies of perjury, l hereby certify [hat this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and o plet s re uired by law, and is prepared in accordance wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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5.a �eo(Se r c' � o Sjgnamreo(Seller
Robert D. Troy -� "�-� Z .
Pnnt�Nameo Sd/vi S" nDare MH/00/YYi'1� %in[edNameo SrJler Si nDa[e Hft/DD
F: NTEES.=-APP.CICATIONiF.OR•PROP,ER'[��TAXDEDUCTIONS=IDENTIFY=AGC•ITEMSTHATAPPLY.'r' = `'+'
Terri Lofton
Buyerl�N rsonronveyunredacument Buyer2-Nameasappeorsonronveyoncedorumrnt
5628 S 12S
Addras(NUmberardStreeQ Addras(Numberand5veet)
Fi.granch.IN 47648
iry. Sm[e, and7lPCOde Ciry, Sm[e, andTlPCOde
E-mai/ Tele honeNum6er E-mail
THESALFSDISCLONREFOMIMAYBEUSEDTOAPPLYFORCERTAINDEDUCfIONSFOftTHISPROPHRTY.IDHNTI THOSETHATAPPLY.
YFS NO C08DITION I ti0 COYDRIOY
� ❑ 1. Wil1 [his property be [he buyer's primary � 3. Homestead aa a a 3� 9
residence? Provide complete address of prim rgy Hea[ing/Cooling System
residence, including county:
❑ ❑J S. Wind Power Device
Addre55(NumlwmdStree[) ❑ Q 6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Hea[ing/Cooling Device
Ciry, Smte7JPlode Counry
❑ 0 2. Does the buyer have a homestead in Indiana to be � 0$• �s this property a residential rental property?
vacated for [his residence? Ifyes, provide ❑ ❑ 9• W � like [o receive tax statemen[s for [his
complete address of residence being vacated, prop via e-mail? (Provide contoct information
including county: I se see instrucdons for more information.
Nat availa6le in all coundes.)
Addrets (Number and Street)
Ciry,Sm[eLPCade lounry � I/ '/� �/�O _ ��0• �/� ���
Pdmaryproperryownermnmctname E-mail
Under penal[ies of perjury, t hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is tne, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
bein d.l �
ignaturea(BUyal Signoturt o(Buyer2/Spouse
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