Homestead_Phillips (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
J. Robert Kink le Attorney
Preparer of the Sales Disclosure Form Title
PO Box 13, 219 N. Hart Street Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
hTT,SELISEk.(SAGRANTORTSWit- •k'17,-.."9:1::t77--ZatiTC:1=7:1—'
McKervie G Woolsey Seth M Woolsey
Seller!-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
418 W Walnut Street 41R W Walnut Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete ais requirejl by law and is prepared in accordance with f 6:1.1-55, " eal Property Sales Disclosure Act".
Q7 On Oz_ -I /JO?,
Signature of S er Signature of Seller
McKen7ie G Woolsey -t— Seth M Woolsey ion Name ofSeller SiarZate(MM/00/VYYY) Printed Name of Seller ian Date(14.WODifirn
IF:TKIXER(S)KItANTEE(S)IFAIWIGMONIKORIP,ROPYRTIWTAVDE-151.101-10-1\l'SEIDENTIFSTAWITEV1ci,THWAP,P,IX: :-.47'777;t• ;-• 77-
Kimberly S. Phillips
Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
406 E.Christian Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
2 fl 1.Will this property be the buyer's primary [7] D 3. Homestead
residence? Provide complete address of primary 2 4.Solar Energy Heating/Cooling System
residence,including county:
ri S.Wind Power Device
418W Walnut Street
Address(Number and Street) 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson fl 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
15 8. Is this property a residential rental property?
9 2 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 9 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
Kimberly S.Phillips CAt /21)/a /Mira g5,51-0A)
City.State ZIP Code County
Primary property owner contact name E-mail
Under penalties of perjury, I 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
being filed.)
1-11-42-4 A •
Signature of Buyer!
riX Signature of Buyer2/Spouse
Kimberly S Phillips //./
Number License/ID/Other Number
•