Homestead_McNeeley (3)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER
J. Robert Kinkle Attomev
Preporcrof lhe Sala Disdasure Porm iitle
219 N. Hart St.. PO Box 13 Hall. Partenheimer 8 Kinkle
Addrsv(NumMondSareQ lampany
Princeton. IN 47670
E-mail
E. SELLER S GRANTOR S
Connie L Cottingb,3m
Seller ]� Nome as appears om m�ve�nnre dorvmmt Seller? � Nanre as opymrs on ronveyonm davmmt
727 E. Gark Street
Addras (Num6erand Sncet) Addrecs (Number and5treetJ
Prinr.eton.IN 47670
E�mnil 7ele honeNUmber E-mail
Under penalties of perjury, 1 hereby cer[ify tha[ this Sales Disdosure, to the best of my knowledge and belief, is true, correc[
d comple[e as re ired nd is prepared in accordance �vith IC 6-1.1-5.5, "Real Proper[y Sales Disdosure Act".
Signamreaf5eller Signoh�reo/Srller
Connie L Cottinpham 0�-26-2012
Pnn[edNameo Seller SionUa:efu.4/0o/Yml Pn SianlMte(u14/on
F. BU S- APPLICATION FOR PROPERTY TA C NS- IDENTIFY ITEMS THAT APPLY
-D n Id W. McN Shari L. McNee
&ryerl-Nameasappearsonronvry� reJorumene Bvyrr2�Nnmeuzappmrsont reynnaeAorvment
� 303 E. rtnee,se �
dddress (A'um6eranASUeetJ AJdrev (NUmher anJ So-eetJ
Evansville.IN47777
E-mail
THE SALFS DISCLOSURE iORM MAY 8H USED TO APPLV POR [ERTAI\ OEDORIORS FOR THIS PROPERTY. IDE,YTIFY ALL OF THOSH THAT .1PPLV.
YES NO COSOITIOY I VFS NO COS'DITIO\
�✓ � 1.4Vill this property be the buyer's primary Q ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Hea[ing/Cooling System
residence, induding county:
127 E Clark St ❑ Q✓ S. Wind Power Device
Addras/NumberondSVeet) ❑ ❑✓ 6. Hydroelectric Power Device
Princeton. IN 47670 Gibson � Q 7, Geo[hermal Energy Heating/Cooling Device
�Ciry. ateZlPCode Counry
� 2. Does the buyer have a homestead in Indiana to be � ❑� 8. �s this propeiYy a residential rental property?
vaca[ed for [his residence? If yes, provide ❑ ❑✓ 9. Would you like m receive tax sta[emenLS for this
comple[e address of residence being vacated, property via e-mail? (Provide rontoct infonnation
indudin county: belmv.Pleaseseeinstructions�ormoreinjormation.
.�O� E, �`"'�,,�- ,5-. Not available in all counties.)
Addras(NumberondRrttr) ^ // / a���a'O7. ?�."f� �2 /O� �� S(
��-d�l/�SG��GLE, �'� �/� `/����� ponald W. & Shari L. McN ety `� v
Ciry. Smte LPCode launry
Rimary pmyerry o�mercwmat nnme E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, [o [he bes[ of my knowledge and belief, is [rue, correct
and comple[e as required by law, and is prepared in accordance �vi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (No[e:
Spouse information, Social Security and Driver's License/O[her numbers are not neressary if no Homestead Deduction is
bei�n, le)d.) �,,� �n � /
�l�Y�/r;4�� 1,��/(1'�"r/ %�.C�L( !�//�f/ �G�,�
S namreo/Buyerl Si,9namreoJBuper2/Spouse
nnald W MrNaa�y 07-9fi-901? Shari L MrNePjy 01-26-2072
Las[SdigiGSO�Buyer]Onver's Sfa[e Los[SDigit�so�5acia15ecuntyNumber Las15digitso�Buyer2/SpouseDnver's Smte Last50igiGSOfSanalSecunty
License/lD/OtherNum6er Number Lirense/ID/OtherNUm6er