Homestead_CarpenterINDIANA SALES DISCLOSURE FORM SDF ID:
J. Robert Kinkle
Preparer of the Sales Disclosure Farm
N. Hart St. , PO Box 13
res (Number and Sweet)
rinceton. IN 47670
Cigt State. and ZIP Code
Seller I - Name as appears on conveyance document
711 Main Street
Address (Number and Sweet)
City, Sttaate, and ZIP Code
Title
Hall. Partenheimer & Kinkle
E -mail
Seller 2 - Name as appears on conveyance document
Address (Number and Street)
City, State, and ZIP Code
Telephone Number E -mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and c?i9rlete as re u ed by law, and is prep d in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
f-)/ _0 c % EA&A I / • F I
VP
Signature of Seller
F. au*ERtSi1I;RANTEE(S) = APPLICATION FOR PROPERTY TAXDEDUe•
THATAPPLY.
❑✓
❑
3. Homestead
ar nergy Heating /Cooling System
❑
0
5. Wind Power Device
❑
Q
6. Hydroelectric Power Device
❑
Q
7. Geothermal Energy Heating /Cooling Device
❑
✓❑
8. Is this property a residential rental property?
❑
❑✓
9. Would you like to receive tax statements for this
property via e-mail? (Provide contact information
below. Please see instructions for more information.
Not available in all counties.)
Gary Patrick Carpenter -F jTJ tJ iJk Y;, `.D.rpztUlAf
Primary property owner contact name E -mail
Under penalties of perjury, l 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 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
be�ingflel d.) vG
.amreofof err -errl V ignature ofBuyer2 /�S1pou�ssee
rpry Patrick Carpenter ���<2o(O �C11lyIn R. lit. p¢nit t 2 G�2G1 G?
Printed
Security
License /ID /Other Number Number License /iD /Other Number