Homestead_SchuppINDIANA SALES DISCLOSURE FORM
D.PREPARER
PrepareroJthe Sala Disdmvrt Porm
SDFID:
13 Q�`�
Title
Hall, Partenheimer 8 Kinkle
lompony
Princeton. IN 47670
Ciry, Smle, and ZIPCade Tdephone Num6rr E-mail
E.
Seller I� A'ame os appmrs om m�veyanm dorumenl
Address (h'um6erandSo-ee[/
Princeton. IN 47670
� � � ����
«
Seller 2� A'mne as oppmrs an ronveyanro docvment
Addrw(Num6erandStreeQ
liq•, Smtc, ond ZlPlade
Under penalties ot perjury, 1 hereby certify [ha[ [his Sales Disdosure, [o the bes[ otmy knowledge and belief, is [rue, correct
and comple[e as requi^d by� w, and is prepared �n ac�ordance wi[h IC 6-11-5.5, "Real Property Sales Disdosure Act".
Buyrr 1- Name as appears an
CATION FOR PROPERTY TAX
e«�me��
sy�om�e�/sene.
ALL
dddres> (NUmber anJStrretJ
Princetc:n IN 47670
Ciry�.Smle. ondZIPCWe
THE SALFS DISCLOSURE iORM MAY BE USEO TO APPLy FOR CERTTIA OEDIIRIO\S FOR THIS
J� � 1. N'ill [his property be the buyer's primary e
residence? Provide �omplete address of primary
residence, induding county:
Address (Number ond Strnff
Princeton IN 47670 Gibson
Ciry.Sm[eZlPlade Caunry
� Q 2. Does [he buyer have a homestead in Indiana to be
- vacated for this residence? If yes, provide
comple[e address of residence being vacated,
including county:
Address (Num6erand5treelJ
City, Smre ZIPCade
THOSE THAT APPLY.
Y
u u 3 Hom�d�
� Q 4. Solar Energy Hea[ing/Cooling System
� Q 5. Wind Power Device
❑ Q 6. Hydroelectric Power Device
❑ ❑J 7. Geo[hermal Ener� Hea[ing/Cooling Device
� Q 8. Is this property a residential ren[al property?
❑ ❑./ 9. Would you like to receive taa s[atements for this
property via e-mail? (Provide ronmct information
below. Please see instructions for more informa[ion.
Not ovaila6/e in all countie .J
�-/a /4�/Oo-pU�/�s��t�
JamesE.Schupp fi Vick�i L. Schupp
name
E moil
? :
Under pe Itles of perjury, I hereby certify tha[ this Sales Disdosure, ro the best of my knowledge and belief, is true, correct
and co le as required by , and is prepared in accordance with IC 64.1-S.S, "Real Property Sales Disdosure Act". (Note:
Spouse nfo matlon, So ' c' nd Driver's License/O[her numbers are no[ necessary if no Homestead Deduction is
being fi n� _ �p / /
xU�N Ol �C/7//G?�
Signalure �Bu}rr1 ' SgnoNreo/Rvyer2/Spouse 1
�� di Vi �ki T._ Srhn�n 3/36�(�—
Number Lirense/lD/O[herNUm6er