Homestead_Wallace (21)INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER
J. Robert Kinkle Attornev
'Preparer o([he Salu Disdosvre Form Title
Boz 13 219 N. Hart Street
res (Number and 5[ree[)
Princeton IN 47670
CiqS Sm[e, ond ZIP lode
Seller ]- Nome as appeors on ronvryronre dacument
6711 C 175 E
Addres (Num6er a � SVeet)
Fort Branch IN 4764A
Hall. Partenheimer 8 Kinkle
Seller 2- Name as appeorsom m�veyanre darumenl
R711 S. 775 F.
Address (Numher ond Slrre[J
Ciry.Smte, anJ ZIP Code
�'�
E-mail
Under penaldes of perjury, l hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is true, correct
and complete as r(/�c�iye,d by law, and is prepared in accordance wit IC 6-1.1-S.S. "Real Prop - s Disclosure Act".
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i- APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Kvle D Wallace
Buyer 1� Name as ap➢ears on ronveyance document
449 E. 350 N.
Addrea (Numberord Street/
�ka IN 47666
„
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Bwer 2- Nome as appears on ronvryonre docvment
Address (Num ber om151reetJ
Cig•, Smte, ond ZIP Code
THE SALFS DISCLOSUIIE FORM MAY BE USED TO APPLY FOR CEftTAiN DEDUCf10N5 FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO
Q� 1. Will this property be the buyer's primary
residence? Provide complete address of primaiy
residence, including caunty:
717 S Main Strt?[?t
Addres (Number and Street)
Princeton IN 47670 Gibson
Ciry, Smte ZIPCode Counry
�[,] 2. Does the buyer have a homestead in Indiana to be
�J vacated for this residence? If yes, provide
complete address of residence being vacated,
including counry:
449 E 350 N
.Addres (Num6u and 5[ree[)
Patoka IN 47666 Gibson
City, Smte Z/P Code Cavnry
� Q 4. Solar Energy Heating/Cooling System
� Q 5. Wind Power Device
� ✓� 6. Hydroelectric Power Device
❑ ✓� 7. Geothermal Energy Neating/Cooling Device
� �✓ 8. is this property a residential rental property?
� Q 9. Would you like to receive tax statements for this
property via e-mail? (Provide contocr informotion
below. Please see inswctions for mare injormation.
Not available in all counties.)
�- �-ia fl�-.�u- �a. x�3-oa�
KyIeD.Wallace d�-ia-b��ov-a�3.Sue-oag
owner ronmct name
E mail
Under penaldes of perjury, l hereby certify tha[ 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 with 1C 6-1.1-5.5. "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Drive�'s License/Other numbers are not necessary if no Homestead Deducdon is
being filed.)
�D. .�/�
��grpNreo�Buyerl Si naNrea�Buyerl/Spouse
�,.io n �n��n��o � I �' �' �Z
Num6er
License/ID/Other Num6er
9
Pnn[ed Iegal Nameo(Byrr2/Spouse
Sign Date (MM/DD/YYVY)
Lps[Sdigi6a(Buyer2/SpouseDriver's Sta[e LastSDigiCSO�Social5ecuriry
Number License/ID/OtherNumber