Homestead_Davis (8)�
INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER
J. Robert Kinkle Attomev
PrepareroftheSalaDisclosureFonn Title
219 N. Hart St.. PO Box 73 Hall. Partenheimer 8 Kinkle
Addres (A'vmberand Stree[J Compony
Princeton.IN 47670
E�mail
E.SELLER S GRANTOR S
Betty J. Wade Norma June White
Seller 1- Name us appmrs m ronvevanre dorwnen[ SeUer 2- Nameas oppears on ronveyanre dwvmen[
406 S 2nd St PO Box 341 PO Box 194
Address(Numberand5veet) Address(Nurnberand5veetJ
Owansville. IN 47665 Patoka. IN 47666
E�mail
Under penal[ies of perjury, t hereby cer[ify [hat [his Sales Disclosure, [o the bes[ of my knowledge and belief, is [rue, correc[
and c plete as required by law, and is prepared in accordance wi[h IC 64.1-S.S, "Rneal Property Salesp Di.s�closure Ac[".
�o�;�- (�C%Cti�i� �h�IM�ir _ ��(n.� . ���Yu.L¢---
Signamreo(Sel/er � Signamreo/Seller
Bettv J Wade O6I09I2070 Norma June White 06/09I2010
PnnsdName r� 5lonDarel+�n/DaM» PnntedNameo/Seller SianDart MII/oo/YYnI
F. RS GRANTE -APPLICATIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALL(TEMSTHATAPPLY
Donavin A. Davis
Buyerl-Nameasappears nveyancedxument euver2�,Yameasappearsonronveyanredaument
2 e i.
dddreu(NumberondS[reet) Address(NumberondSVee[J
°rinceton IN 47660
-iry.5mte, ondZiP Code Cirv, Sm[e. and ZIP Code
Tele honeNumber E-mail Tele honeNwnber E-mail
THESALFS�ISCLOSUREFORDIDIAI'BEUSEDTOAPPLI'FORCERTAI\DEDUC710ASFORTHISPROPE THOSETHATAPPLI'.
1'FS AO CORUITION i NO CONDITION
Q � 1. l�Nill this property be [he buyer's primary I❑J ❑ 3. Homestead
residence? Provide complete address of pri �ary ,/ 4. Solar Hea[ing/Cooling System
residence, including county:
201 New Jersey St ❑ ❑✓ S. Wind Power Devite
Address(NUmberand5treet) ❑ ❑� 6. Hydroeledric Power Device
Princeton IN 47670 Gibson � Q 7, Geo[hermal Energy Heating/Cooling Device
liry, Sm[e ZlP Cade lovnry
� � 2. Does [he buyer have a homes[ead in Indiana to be � � 8• �s [his property a residential ren[al property?
vacated for [his residence? If yes, provide ❑ �✓ 9. Would you like [o receive tar s[a[ements for [his
comple[e address of residence being vaca[ed, property via e-mail? (Provide contoct information
induding coun[y: 6elow. Please see instructions for more injormation.
Notavailable�n Icounties.)�%n� ��
AdCress(h'umberand5tree�J � �a /���O�QQ�, p /�O
Donavin A. Davis
Ciry, Sm[e Z/P Code Counrv
Pnmaryproperryownerronma[name E�mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse info�eett3A, Social Seet�ihy and Driver's License/Other numbers are not necessary if no Homestead Deduction is
beingfl .) ��j
Signaroreo(Buyerl �"� SignamreofBuyerT/Spouse
�navin A Davic 0 6109 /9 1 0
��
Number Last 5 digi[s o(Buyer 2/Spouse Driver's Store Last 5 Digics ajSocial SecuriN
License/ID/0[herM1'umber Number Lirense/ID/OtherNum6er
� SGiEfOGIJbV(Pl/&1% � �- ..�-SRPASLApIWFNTSfA- �
, -� 'nPMWFD91'SiAiEflMROOfACCVUYli.2lW ' PRFSC0.10fO�YT1IEOFPA0.TMEiMIDCAI.GOVER\MEYIiMAVCF.IC6�.1�IId.1
Gibson County Auditor � � � � � � � � � � � � �
101 N. Main Street �ndividuals and married muples are limited to one homcnead standard Jeduttiort As the receipt af this deductian hecomes
PfIfIC2SOn, IN 47670 more brne(rcial, there is rtwre iucenti��c tlun n�er for homestead fmud. Homes�ead faud cauces 6igha ux 6ills for all; �hcrefort,
. � HEA 13J4-?009 rtquires taxpayers w�ho rcmive the homestead standard deduc�on to �srify chat thcy ws cligiFile [o rccci�x thc
� � T��� benefit end m prm�idt additional identifying infortnmion nccessary to ellow' counry gm�emmevt to bctter monimr homestead
1 tilings. 7ttis infortnation will be kept wnfidrn�ial and can onty bc aacssM by au[horiud cowy offirials. 1he Dcpartrneni of
[ azl Gm'ermnent Firmnce uill use this information W create rools that will help counrv officials eliminate Iwmeatrad frzud.
_ APR 19 2011
— c.9.m�
GIBSON COUNTY AUDITOR
1380
Donavin A Davis '
201 New Jersey Sl
PRINCETON IN 47670.3435
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Taxpaver Name . Lowtion Address .,
Memmer, Freda A Life Est Etal
�, 201 NEW JERSEY ST
� PRINCETON IN 47670 •
I II�I0111��111III�I �III �II II��IIII�II�II �II�II�II0I�II�I1 II II 01 �II II IQII I�IIII.
State Parcel Number Leqal Description
26-12-18-304-002.881-02�ROADLEIGH PaftK 97
This form MI1ST be returned to County Auditor's office.
Please do NOT send this form back with your tax payment to the county treasurer.
o.v �� L
(number and stteel, ciq•, sta[e, and ZIP code)
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�Drivcr's License/State m Kumbcr (IuY i digirs) --
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� Samc as property addrtss
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Each undeisigned certifies, under penalty of perjury, that the above and foregoing infortnation is we and correct and tha[ he or she is eligible [o
receive.the homestead standard deducrion on this property. Each undersigned also understands that, by claiming additional homestead deducrions
unlawfully, he or she may be liable for back taxes and substantial financial penalties. `
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