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Homestead_Pell (2)
• INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 6D..P,REP.ARER ;_ . . ..G_.— . . . - t—�. . _ s✓.. �.--�--- _J.Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N.Hart Street, PO Box 13 Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkleehpk-law.com City,State,and ZIP Code Telephone Number E-mail jrE ECLER(S)Y/,GRANTAR(S)2. ; . `ri,ti_� =?_ _� :�`N .177-7 Kenneth S Pell by J Robert Kinkle Commissioner pursuant to a Decree of Dissolution dated 2/3/14 under 26D01-1'104-DR-73 Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document c/o Steven I Rohleher Esc 123 NW 4th Street Address(Number and Street) Address(Number and Street) Evansville IN 47708 Telephone Number E-mail Under penalties of perjury,I ereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c:• I lete .s .•. re' b/law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Ii . A t/ son, r!T7 Signature of Seller .- s . :•.-. •... • *fill. '.1 ' r I P fated Name of Seller Sian Dan(MM/DD/YYYf Printed Name of Seller Sian Date(MM/DD/YYYf :nE(Sr/GRANTEE(S)`'Ap,P.tiICATioNthoMitonE iniYT-AX<DEDUC-Td ONSET!DENTIEYA E!ITEMSITHATAP,P,[Y/77 : :_ Mani Ann Pell Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9178W350S Address(Number and Street) Address(Number and Street) Owensville,IN 47765 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 MAR 7 2014 Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead . residence? Provide complete address of primary ❑ © 4.Solar Energy atm ystem residence,including county: 91 7 g U) 330 S ❑ D 5.wind8qtirg6 ece AUDITOR Address(Number and Street) /� ❑ 0 6. Hydroelectric Power Device QLJ ENSv t c C E� N 76405 (� a BS o ti ❑ ❑ 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) h� I City.State ZIP Code county 0{(44 Y 1-300 _ 000 53O -b3 ' Primary property owner contact name E-mail