Homestead_Leffler (4)INDIANA SALES
D. PREPARER �'.; ` .. , . �` ,
J. Robert Kinkle Atlai
Preparer of rrie Salu Olsdasure Farm TIUe
219 N. Hart St.. PO Box 13 Hall Partenheimer & Kinkle
Add�ess (Numberand Sveet)
E-mail
The Fstata of Fllis Q TrLiitt
Se(lrr �- Name as oppmrs on conveyonce documen[
,�i� � J c.�7f� lf �S
Address (Number and Svee[J
�.5�� Cc�/��!"iG.J��C'OO�j ,t�iC'�
Cy'p� SrntG and Z/P Code
U,?' .��l-l-...t T7, � /I�/:7r1 �!`� �%�
Seller 2- Name as oppeors on ronveyance docummt
Address (Number and Stree[J
Clry, Sm[e, ond ZIP Cade
Under penaltles of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is trve, correct
and,eomplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
�.�'��•J� ,
Sfgnamre o(Sel1 Signature oj5eller
I 1 I "
Buyer }- Name as oppenrs on conveyance document
115 N. 2nd Ave.
Address (Number and Street)
��y
Buyer 2- Name as appears om m�veyonre dommene
115 N 2nd Ave
Address (Number and Sveet)
Princelon.IN 47670 I Princeton IN 47670
� a �. Will this proper[y be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Address (NUmber and Street)
Oakland CiN IN 47660 Gibson
elry,srure2lPCOde [uunry
[� [[� 2. Does the buyer have a homestead in Indiana m be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
115 N.2nd Avenue
Addrea (Number and StreetJ
Princeton,IN 47670 Gibson
Clty, Srnre ZIP Code Lounry
Q ❑ 3. Homestead
❑ � 4. Solar Energy Heating/Cooling System
❑ 0
❑ �
�
■
■
ab-
5. Wind Power Device
6. Hydroelectric Power Device
� 7. Geothermal Energy Heating/Cooling Device
❑d 8. Is this property a residentlal rental proper[y?
Q 9. Would you like to receive cax sWtements for this
property via e-mail? (Provide contact informotion
6elow. Please see ins[ructions for more injormation.
Notavaifable in all counnes.)
►y-is-ia/ o00 9�y oo�
Robert E. Leffler & Diana J. Leffler
name
E-mail
Under penaldes of perjury, 1 hereby cerdfy that this Sales Disclosure, to the best of my knowledge and belief, is trve, correct
and complete as required by law, and is prepared in accordance with IC 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 fil� � �� _
SjgnomreojBuyerl lg atureofBuyer2/Spous
Rnhert E LPffler Diana I Leffler