Homestead_Easton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER: \
• •
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
219 N.Hart St. Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkle(tilhok-law.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)- ',2' ,. •c: ` - - ; 4 r7f;. '-t
Amy J.Kelley
------- ------
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
301 Johnson Ave
Address(Number and Street) Address(Number and Sweet)
Princeton, IN 47670
Telephone Number E-mall
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cotplete as required by flaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSeller v Signature of Seller
ARV.1 Kelley /VI �J ��� FILE
Printed Name of Seller Sign Date(MM/DD/YY111 Printed Name o(Seller nDate(MM/DD/YYY@
7F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS=.IDENTIFYALL ITEMS THAT APPLY, -
ICavla A. Easton > MAR 5 2014
grs an conveyance document Buyer 2-Name as appears an conveyance document
748 S.Main St.
Address(Number and Sweet) Address(Number and Street) EIT9n 4'm1R
Princeton, IN 47670 GIBSON COUNTY AUDITOR
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES _ND—CONDITIDSI,
0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ergy Heating/Cooling System
J
_ residence,including county: ❑
30 i ON,U SON t'I✓C 5.Wind Power Device
ddress(Number and Street) '/ /' ❑ Q 6. Hydroelectric Power Device
ft I N ea To N/ 1 Al Y 7670 l�t BSDn.) ❑ (] 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ A/B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ L1d" 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 Sweet)
n p — / Z - o8 - .203 -ooa - 0 od -0z8
City.State ZIP Code County
Primary property owner contact name E-mail