Homestead_PriceINDIANA S4LES DISCLOSURE FORM SDF ID: Pa�e 2
D. PREPARER _ . _
Dan L. Reeves
Preporer ofthe Salu Disdomre Fortn
1'G S Main St
� -s (A'umber and S[ree [)
Princeton IN 47670
City, Sm[G andZlP Code
E.SELLER(Sl/GRANTOR(S� , �
�Aerinn R Knhcrctc'n _ Tn c1PP
Seller I� Name as appenrs on tonveyance document
t00R Wilson Avenue
Addres (Numberand Sveet)
P' f IN d7R70
_Ciry.Smu, and ZIP Code
E�mail
r��e
Company
E-mail
�SpIIya K Koberctrin - TnictPP
Selier 2- Name as oppmrs on cmveyonre dxument
t00R Wilcon AvQniiP
Addrecs (Number and Street)
Pr'nretnn IN 47670
Ciry.Statg andZ/PCode
_
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and qomplete as required by law, and is prepared in accordance witt�IC 6-1.1-5.5, "Real Property Sales Disclosure AcY'.
FOR
Buye� I � Name as
Addrea (Number and 5[ree[J
2
�� " eton IN 47670
rntGand2/PCode � �
TXE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY DEDUCTIOYS FON
�ES NO
� ❑
1. Will this property be the buyer's primary (
residence? Provide complete address of primary
residence, including county:
Address (Num6er and Sveeo)
Ciry. 5mre ZIP Code County
� ✓Q 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrw (Num6er ond Stree[)
Ciry. Srure ZlP Code Counry
CTIONS- IDENTIFY ALL ITEMS
Buyer 2- Name os oppears an conveyanre document
Addre¢ (Number and Street)
Ciry. Smre, and ZIP Code
APPLY.
4. Solar Energy Heating/Cooling System
S. Wind Power Device
6. Hydroelectric Power Device
7. Geothermal Energy Hea[ing/Cooling Device
� �✓ 8. Is this property a residential rental property?
� �✓ 9. Would you like m receive tax statements for this
property via e-mail? (Provide contact informotion
below. Please see instructions/or more information.
Not avail le in all rnunnP� �
��-�� ��- � - oo�t. yl�-�a'1
name E�mail
Under penalties of perjury, l hereby certify [hat this Sales Disdosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being f� Q
�,area( uyer] S(qnom ofBvyer2/Spouse
�ta�2.r/t ni r e� Zz d �
PnntedLegolNameo(Bvy�r] Sign are�w /On/rvrh PrintedLega/Nameofeuyer2/5 au SqnDare(MM/OD/rm7
LasCSdigiGrofBuyer2/SpouseDriver's S[ate Los[SDigitso%Social5ecurity
License/ID/O[herNumher Number License/ID/O[herNum6er