Homestead_Shrode INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Hall,Partenheimer&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 jrkinkleehok-law.com
City,State,and ZIP Code Telephone Number E-mail
SgMaIrt(S)XGRANTORISIZr:H111:17.-;-`77c,L.-"::,-,,-7:f';;..;:b.7. : , 721-':--' 2. iii
The F state of Emily Y Hayhurst
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1725 CR 2600 N
Address(Number and Street) Address(Number and Sweet)
Grayville, IL 62844
Telephone Number 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".
JC r-9•6/11e-S • JaA C 0 -r' 3 •
Aka:Irmo(Sella Signature of Seller
I ola S Graham Personal Representative y, y
Printed Name of Seller i :MOTE&(.601/00/19111' Printed Name o(Seller FILE Ian Date(MAI/00/1717)
LF(BUYER(S)/GraNWEE(SifceattIGATIONTEGIT3PROP.ERTYcTAXWEDUCMON.S-ODENTIErAILLJTEMSITHAITABELNI. '-7-7.7.- •- .• ,!----.--.±
James A. Shrode Nona G.Shrode MAR 2 7 2014
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docuMent
18923 Roscommon Rd 18923 Roscommon Rd '
OBS N
Address(Number and Street) Address(Number and Streit)
Evansville, IN 47725 Evansville, IN
COUNTY AUDITOR 4772?
YES 0 CONDITION
ve
I YES ' CONDITION
0 r-t-Will this property be the buyer's primary
t 0 0.-Homestead
wresidence? Provide complete address of primary 9 0 4.Solar Energy Heating/Cooling System
residence,including county:
koo .9. 9 re Av€ 9 rA s.Wind Power Device
Address(Number and Street) 9 z 6.Hydroelectric Power Device
1711 P-13 s r A or, :1---->1 47/039 G"450" 9 g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP e - County
9 r2.-.Does the buyer have a homestead in Indiana to be 0 a 8.Is this property a residential rental property?
-Th'sritacated for this residence? If yes,provide 9 " 9Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
ineludinteMinty: - - below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
a a i -D(7-c200-ea 9- W a3 -tiOCI
City,State ZIP Code County
Primary property owner contact name E-mail