Homestead_Green (3)INDIANA SALES DISCLOSURE FORM SOF ID: Pa e 2
D.PREPARER
J.RObert Kinkle Attornev
R'eyurer o(the Safa Disdwure Form Title
�219 N. Hart St.. PO Box 13 Hall Partenheimer & Kinkle
Addras (Number ond StrxQ Lompany
Princeton IN 47670
E-mail
E. SELLER S GRANTOR 5
Darius A_ Plank
Seller ]� A'ome as apprors om m�vqnnce docvmmt Seller I� Nume os apyenrs om m�vevonre dxummt
232 E Baird St_ Aot B
Address (Humber and Sveet) ddd�os (NUmber ond5[rmt)
West Liberty OH 43357
Emnil Tele honeNumber Email
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, [o the best of my knowledge and belief, is true, correct
and comple[e as requir d by law, and is prepared in accordance �vith IC 6-1.7-5.5, "Real Property Sales Disclosure Act".
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Signamre o/Selle� Signalure o/Seller
Darius A Plank 12-23-2011
PnntedNameofSel/er SiYnpa41.V11/DDMI PnnteJNameo(Sel/er Sipnlbte AH/DO/YY1
F. B EE S- APPLICATION FOR PROPERTY
VFS NO LOYDITION YFS
Q � 1. FVill [his proper[y be [he buyer's primary I ✓ � 3. Homestead
residence? Provide complete address of primary rgy Heating/Cooling System
residence, induding counry:
1124 S. Gibson Street ❑ Q✓ 5. Wind Power Device
Address(Num6erand5treeQ ❑ ❑J 6. Hydroelectric Power Device
Pnnceton IN 47670 Gibson � Q 7. Geo[hermal Energy Heating/Cooling Device
Ciry. Smte ZIPCode Cmmry
�✓ � 2. Does the buyer have a homes[ead in Indiana [o be � �$� �s this property a residential rental property?
vacated fm� this residence? If yes, provide ❑ ❑� 9. Would you like to receive tas statements for this
complete address of residence being vacated, property via e-mail? (Provide rontod informotion
including coun[y: belo�v. Please see instructions for more information.
10149 S. Koich Drive Not a��a/il'able in aAll rount�s.J
Address(Num6erondS:reef) a�i/a ��'�j�13'o(/a.� � Q��
PoSeWille, IN 47633 POSeV Larry E. Green 8 Dottie K Green
Ciry, Smte ZIYCode Counry
Pnmory ymperry o�vner mnmr: nnmr E�mail
Under penal[ies of perjury, 1 hereby certify [ha[ this Sales
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