Homestead_Phillips (4)�a��U
INDIAN SALES DISCLOSURE FORM SDF ID: ���' � 7a e 2
A.PREPARER
J. Robert Kinkle Attomev
�R'eparer a(the Soles Disdosure Forni Title
219 N. Hart St. PO Box 13 Hall. Partenheimer 8 Kinkle
Address (Numberand SneetJ
E-mail
E. SELLER 5 GRANTOR 5
Adam D Fidler Rathael L Fidler
Seller 1- Name as oppears on ronveyanm doavmmt Sdier? � Name os appevrs an rom�evonm docummt
9070 NorthwPSiPm Avenue 7449 S. 700 W.
Addres (NUmber ond Smtt[) dddros (Nmnber ond5trce<)
Princeton IN 47870 Princeton IN 47670
Ciry, SmtG and ZlPlode li�., Sm[e, orrAZIN lyde
E-mnil Telc honeNUm6er E-mail
Under penalties of perjury, l hereby certify that this Sales Disclosure, to the best of my knowledge and beliet, is true, correct
and comple[e as required by law, and is prepared in accordance with IC ���R Pr�les Disclosure Act".
r F�r.�..t �"`2� � � ,�,__
SignaNrea(Seller Signamreo(Seller
Adam D Fidler r
PnbtedNameo Seller Sinnoa�e u1VOOA»} Pnn[eJA'arneo Seller unDate u.v DO/1
F. BUYER S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Matthew V Phillios Tara R Phillios
Buyer 1� Name as appean on rnmryonre Jorumen( Bayer 2- Name as appevrs an romryonte darumenl
302 N. Sih Avenue 302 N. Sth Avenue
AdJress (Numbrrand Strmt) Addrns (Num6rr andStreetJ
Princeton IN 47670 Princeton IN 47670
� Ciry.S[ale, ond LP lale City. Smte, nnJ ZIPCoJe
Email
THE SALFS OISCLOSURE FORM A1AY BE USED TO APPLY' FOR CERTAIY DEDUCfIO�S FOR THIS PROPERTY. IDEYTIFV ALL OF THOSE THAT APPLV.
YFS NO COYDIT108 � NO CO\'DITI03
Q � 1. \Nill fhis proper[y be the buyer's primary ❑J ❑ 3. Homes[ea
residence? Provide comple[e address of primary 4. Solar Energy Hea[ing/Cooling Sys[em
residence, including county:
144a S 700 W ❑ Q✓ 5. Wind Power Device
Addrns/NumberunJStrntJ ❑ ❑✓ 6. Hydroelectric Power Device
Princeton IN 47670 Gibson � Q 7. Geothennal Energy Heating/Coolin� Device
Ciry.SmteZlPCade [ovnry
JQ � 2. Does tlie buyer have a homes[ead in Indiana to be � ❑� $� �s tliis property a residential rental property?
vacated for [his residence? If yes, provide ❑ ❑✓ 9� Would you like [o receive tax s[a[emen[s for [his
comple[e address of residence being vaca[ed, property via e-mail? (Provide contact in%rmation
including counry: 6elow. Please see ins[ructions for more information.
302 N. Sih Avenue j No! ov oble 'n oll coundes. O a-�
AdJr¢�'(Num6erond5veet) p2�Q — � I �/ � �O� — �' ���
Pnnceton, IN 47670 GibsOn Matthew V. 8 Tare R. Phillips
CiN. Smle ZiPCade Counry
Pnmoryvroperrymmermnmcf n✓me E-moil
Under penalties of perjury, 1 hereby certify [hat this Sales Disdosure, [o the best of my knowledge and belief, is true, correcl
and comple[e as required by Iaw, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Ac[". (Note:
Sp�se i� r�al Security and Driver's License/Other numpers are no[� essary if no Homestead Deduction is
� bein filed. ��
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Signattire o(Buyerl � � Signatvre o/ 8vyrr2/Spouse (,� f �7
/—' J.��2 Tara R Phillip� Il�v'�
Sacinl5ecuriq�Num6er Las[SdigiGSafBuyer2/SpouseDnver's Sta[e Lot[SDigitso�5ocial5ecunry
License/lD/OtherNum6er 8'umber License/lD/O[herNumber