Homestead_Newton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER . - _
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
2or' "�Hart St.,PO Box 13 Hall. Partenheimer&Kinkle
S `-G, Number and Street) . Company
Pdncaton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
•
E.SELLERS)/GRANTOR(S) - ' :' --
Owensville First Christian Church Inc Owensville First Christian Church Inc
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
302 N Main Street 302 N Main Street
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co ete as •quir• I by law,and is prepared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act".
/
�ature of Seller - Signature of •II r - —
David H (;lover President 11(21/2012 I arry Crooks Treasurer 11/21/2012
Printed Name of Seller Skin Date(MM/DD/YYY1) Printed Name of Seller Sian Date IMM/DD/YYYY)
IF.BUYER(S)/GRANTEE(S)-"'AP..PLICATION FOR-PROPERTY TAX DEDUCTIONS;IDENTIFY ALL ITEMS THAT-APPLY . ' _ .`-_ •
Bart Wallace Newton , Vivian D. Newton
Buyer I'Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
306 N. Main Street 306 N. Main Street
Address(Number and Street) Address(Number and Street)
O ville,IN 47665 Owensville, IN 47665
Telephone Number E-mail 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
❑ 17j 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ M 4.Solar Energy Heating/Cooling System
residence,including county:
306 N Main Street • ❑ n 5.Wind Power Device
Address(Number and Street) ❑ 17) 6. Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ Q 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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) rn/ •^/ �J ,�'�/�/� ��]]
Bart Wallace&Vivian D.Newton /�(-1 /L)1-1107-t�C�J rM /�"°�
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:
Spous. 'nformation,Social Securi nd Driver' License/Other numbers are not necessary if no Homestead Deduction is
I ' //,,II/nJ�,,�-�,, r� c - -
S®re of Buyerl Signature of Buyer2/Spouse
Rart Wallace Newton 11/21/2017 Vivian D Newton 11/21/2017