Homestead_MowrerINDIANA SALES DfSCLOSURE FORM SDF ID: Pa e 2
`D. PREPARER -.•- - r'-'ti� + � �a , . . _ , _
J. Robert Kinkle Attomev
Preparer of:he Salu Disclosure Farm Title
219 N. Hart Street. PO Box 13 Hall. Partenheimer 8 Kinkle
Addre.ss (Number ond Stree[J Compony
Princeton, IN 47670
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E. SECLER S " GRANTOR S � -: .. : _ . . . • �- ._ ; , ;: . _ . _
Rnse Deasnn
Seller 1- Nome as appears on conveyonce document Shcer 2- A'ame as appears on conveyance docvment
Sif11 S_ 1st Street
Address (Numberand Sveet) Address (Number and Street)
Princeton.IN 47670
Clry, SmtG ond Z1P Code Ciry, Smte, ond ZIP Code
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mofl Tele honeNumber E-mall
Under penalUes of perjury, I hereby cerdfy that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
Sl�e��� y� Slgnamreo(Seller
Rose Deason �� �, ZO ( Z
PnntedA'ameo Seller SionDafe(NM D Prtn[edNameo Seller SlonDate(MM o
FIBUYER S GR:4NTEE 5 °=APPLICATIONFORPROPERTYTAXDEDUCTIONS-+IDENTIFYALCdTEMSTHATAPPLY ? - � -
Delohina W. Mowrer
Buyer 1- Nome ar oppmrs an ronveyance documen[ Buyu 2- Name as appears an ronveyantt dotumen[
2490 S. Old State Rd. 65
Address (Numberand Sveet) Addrrss (Number and Street)
Owensville.IN 47665
E-mail Tele honeNumber E-mall
THE SALES DISCLOSURE FORM MAY eE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TNIS PROPERTY. I DENTIFY ALL OF THOSE THAT APPLY.
YFS NO CONDRION YFS NO COYDITION
� ❑ 1. Will this property be the buyer's primary � ❑ 3. Homestead
residence? Provide complete address oF primary � � 4. Solar Energy Hea[ing/Cooling Sys[em
residence, including county:
60'I S. 1st Street ❑ 0✓ 5. Wind Power Device
Address(NUm6erond5vret) ❑ Q 6. Hydroelec[ric Power Device
Princeton. IN 47670 Gibson � 0'7, Geothermal Energy Heating/Cooling Device
City, Smre ZlP Code Counry
❑ ❑ 2. Does the buyer have a homestead in Indiana to be � ❑✓ $• �s [his property a residential rental property?
vacated for [his residence? If yes, provide ❑ � 9• Would you like to receive tax s[atements for this
complete address of residence being vacated, property via e-mail? (Provide contact information
including caunty: below. Please see instructlons for more information.
Not available in alI counties. �^' O� �
2490 S Old Siate Rd. 65 �
Addrecs(Numberand5treetJ � 6 -�a �67 �.20 � ��•
Owensville IN 47665 Gibson ��
Delphina W. Mowrer
Lity, Smte ZfP Code Counry
Mmary properry awnu contact name E�mall
Under penalties of perjury, [ hereby certify that 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 IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informadon, Social Security and Drivers License/Other numbers are not necessary if no Homes[ead DeducUOn is
beingfile .)�
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DPiphina W Mowrer �' �—o� 0�
Prin[edLegalNameo/Buyerl SignDote(MM/�0/YYYn PnntedLegalNameajBuyer2/Spouse 5(qnDare(MM/oD/YYY1j
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Securiry Num6er Las[ 5 digiGS of Buyer 2/Spouse Oriver's Smte Las[ 5 Digi6 of5ocial Secunry
License/ID/O[herNum6er Number License/10/OtherNum6er