Homestead_Hirsch INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
-1 —
J Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N Hart St Hall, Partenheimer 8 Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehok-law.com
City,Slate,and ZIP Code Telephone Number E-mail
(E:SEI:L•ER(S)/.GRANTOR(S)
Betty J Barrett Revocable Trust Dan Reeves Successor Trustee Milton Barrett Revocable Trust Gary Utley Successor Trustee
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
116 S Main St 12919 Sanderson Drive
Address(Number and Sweet) Address(Number and Street)
Princeton, IN 47670 Evansville IN 47725
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a complete as required by law,and is prepared in accordance wit C 6-1.1-5.5," eal Property Sales Disclosure Act".
V. \1,..- - - /� 7.vor- r.Q
Signora ofSeter, ) I 1 Signature of S.Ile
Dan Reeves Si irressor Trustee 312 i 14 Gary Utley Su ssnr TntS{ee
Printed Name of Seller Sign Date(MM/OD/Y117) Printed Name ofSeller Sign Date(MM/oD/YYrn
IFI,BUYER(S)7GRANTEE(S) AP,PLICATION;FOR'P.ROPERTY_TAXDEDUCTIONS dDENTIEY,A11: APB—�1 _
Jacob M.Hirsch ____ p 't
Buyer l-Name as appears on conveyance document Buyer 2 Name as appears on conveyance document
5812 S 325 w _ y q ,(
Address(Number and Street) Address(Number and Street) MAR 21 2014
Ft Branch, IN 47648
[
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Y NO CONDITION
ES N I �— ' -�o^-
❑ Cr-Will this property be the buyer's primary P ❑ c3?Homestea(
residence? Provide complete address of primary • n 4.Solar Energy Heating/Cooling System
residence,including county:
❑ 12 5.Wind Power Device
Address(Number and Street) ❑ iZ 6.Hydroelectric Power Device
City,State ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ �,�C9$•Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ f .-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.
! �-s Not available in all counties.)
Address(Number and Street) ales_ I R-'S-4- o-/•c7N O387--o3\C
City.State ZlPCode County ��J7"" V sw ll.lJ V O J
Primary property owner contact name E-mail