Homestead_QuinlinINDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER • '
J. Roh�rt Kinkle
Preparerofthe Sales Disrlosure Fonn
�?9 N. Hart SL. PO Box 13
�res(NumbermMS[reet)
ceton 1N 47670
Ciry, Smt4 and ZIGCode
Seller ]- Name as appears on mmryvn�e dommm[
704 Mr('art; RoaA
Addres (Number ond Stree[J
TiHe
Hall. Partenheimer & Kinkle
famyany
E'�mail
Selle� 2- Nome as appeurs an ronve}nnce dorument
Addres (NumLer ond Sfreet)
Ciq�. Smte, ond ZIP Cw/e
Under penalties of perjury, I hereby certify that this Sales Disclosure, [o the best of my knowledge and belief, is true, correct
a9d,complete as required by la�w, and in prepared in a� ordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
. I •I" � 111' '�'
— APPL[CATION FOR PROPERTY TAX
L Buye 7�Namoe.flvpearsanronvcryvncrJacummt `
1 170 tate Road 62
rvs (Number ard 5[reetJ
THE SALFS DISCLOSURE FORM MAV BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR
Q� 1. Will this property be the buyer's primary �
residence? Provide complete address of primary
residence, including county:
q11 S Adamc StraPt
Addrea (Num6e r o�d 5[reet)
Princeton IN 47670 Gibson
Ciry. Smte ZIP Code Counry
Q� 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? Ifyes, provide
complete address of residence being vacated,
including counry:
tOVO State Road 62
Addres(Num6erond Stree[)
Bristow IN 47515 Perry
Ciry, 5&te ZIP Code Caunry
SignoNreofSrller
10170 State Road 62
Address (Nurn6er mM S/reet)
Bristow IN 475�5
YFS NO C
✓❑ � 3.
ALL ITEM
ronveynnre dommen[
ALL OF THOSE THAT APPLY.
Ener� Heating/Cooling Sys[em
� Q S. Wind Power Device
� �✓ 6. Hydroelectric Power Device
❑ ✓❑ 7. Geothermal Ener� Heating/Cooling Device
� ✓� 8. Is this properry a residential rental property?
� ✓� 9. Would you like to receive tax sta[ements for this
property via e-mail? (Provide conmct infornmtion
belo�v. Please see ins[ructions for more in/ormation.
Not available in all countres.)
o?G-/a /� /ai aoa, � � o� 8
Robert C. Quinlin 8 Rosemary Quinlin
name E-mail
Under penaltles of perjury, 1 hereby cer[ify that this Sales Disdosure, to the bes[ of my knowledge and belief, is [rue, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disdosure Ac[". (Note:
Spouse'nformation, Social Security and Drivers License/Other numbers are no[ necessary if no Homestead Deducdon is
be' g fil )
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mre oJ"Buyerl `' 1,`, _ Si nature o(B �erz/5 use
Pnnted legal Name of By�er ]
Las[SdigiGSOjBuyer]
9 +'3 W �,! _ � O - � �/ �-
RnGPf11aN QLlfl�lfl
Pnn[edlcgalNomeo(Buver2/Spouse SignDate(MM/oD/YYV'Y)
Las[ 5 digits o�Buyer Z/Spause