Homestead_McKinnoni
INDIANA SALES DISCLOSURE FORpt SDF ID: Pa e 2.
D.PREPARER , . .. .;;*.--� _" -
�.a.
Michelle Havnes Closinq Aaeni
�reparer o(the Salu DBrlosvre Form Title
�O7 Main Street. Ste 701 Bosse Title Comoanv
AdCres(h'umberandSveeQ • �ompany
Evansville. IN 47708
E-mail
E.SELLER S GRriNTOR S . . . ' -.• � . -'. , -
Mark A Gn9el Jennifer R(RlasckstonP) CogPl
Seller ]� A'ome as appears on ronveyanre dotvment Seller2 - Name as appears on com•eyonce dacvmml
819 Skodborg Drive 619 Skod6org Drive
Address (NUm6er and5treet) Addres (Numberand5trre[J
Eaton. OH 45320 Eaton OH 45320
Ciry, Smce, and ZIPCOde liry, Sra�e, and ZIPCOde
E-mall
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act".
_ f�-P�C-� i'lQ 1�..1�� �"�G-
Signamre of5eller Signamre oJ5e0er
Jennifer R. (Blackstone) Gopel OAl I9011
Pnn� ',.ameol5eller SianDa[e MM/DD Pnn¢dNameo(Selfer Si nDaK MM/oD
. UYERS GRA�TEE -APPLICATIONFORPROPERTYTAX-DEDUCTIONS`-IDENTIFYALL'ITEMS.THATAPPLY'.' �� -
Ra A. McKinnon
Buyerl�Nameasap ^ mm�veynnredotumen[ Buyer2-Nameasapyenrsonronveynntedacumen[
Add�es(Num . Addreu(h'um6erandStrttlJ
"�ncat�n, TN 47Fi70
�
FORM MA1' BE USED TO APPLY FOR CERTAIN DEOURIONS FOR THIS . NTI E TNAT APPLY.
5'FS NO CONOITION YES RO CO�DITIO\
✓� � 1. \Niil this property be the buyer's primary �✓ � 3. Homestead
residence? Provide comple[e address of p� a �gy eatlng/Cooling System
residence, induding county:
50a S. Hart Street ❑ ❑� 5.1Nind Power Device
Address(h'umbrrand5vee[) ❑ ❑✓ 6. Hydroelectric Po�ver Device
Princeton. IN 47670 Gibson � Q 7. Geo[hermal Energy Hea[ing/Cooling Device
Ciry, Smte ZIP lode Lounry
� n 2. Does the buyer have a homestead in Indiana to be � ❑� 8� �s this property a residen[ial rental property?
vaca[ed for this residence? If yes, provide ❑ ❑� 9. Would you like m receive tax statemen[s for this
complete address of residence being vacared, property via e-mail? (Provide contoct informotion
induding county: below. Please see ins[ructions for more information.
7J9 F Rrc�a�3wa�+
Not availa6le in al! counties.
Address (Number ond Svee[J
Princeton, IN 47670 Gibson �� ,�p�-Q� �U - oa�. 9s3� dae�
Ciry. Smte ZIPCode Caunry
Aimary properry awner ronraa name E�mail
Under penal[ies of perjury, I hereby cer[ify [ha[ [his Sales Disclosure, to the bes[ of my knowledge and belief, is [rue, correc[
and com lete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse mat' n S cial Sgcurity and Driver's License/O[her numbers are no[ necessary if no Homestead Deduction is
being e .)
5� natureoJBUye�] SigmNreo(Bvyer2/Spouse
PnntedLegalNameofBvyerl SignDa¢(XM/00/YYIIJ PdnttdLegelNameoJBUyer2/Spouse 9gnPOte(NN/OD/YYYI]
Lat[Sdigi[so(Buyer2/SpouseDriver's Smte LasfSDigi[saf5ocialSecunty
License/ID/OtherNum6er Num6er License/ID/0[herNumber