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Homestead_Kelle
INDIANA SALES DISCLOSURE FORM 5DF ID 500 ID 1792258 Paget D.PREPARER Kimberly A.Lewis Office Manager Preparer of the Sales Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 kim.bti @mw.twcbc.com City,State,and ZIPCode Telephone Number E-mail E.SELLER(S)/GRANTOR(S) . - -- • - Tim Plan Engler Tammy J.Engler Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document 1102 W 150 S 1102 W 150 S Address(Number and Sheer) Address(Number and Street) Princeton,IN 47670- Princeton.IN 47670- a_ Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct andipmplet s re ire y law,and is prepared in accordance with IC 6-1.1-5.5,"Real rop St Disclosure Act". Signature al Seller Sign of Seller ]]] Q 7/ ".1 E GLP 5�1 74 �- mr ee ier 5/al/iy PriaM 4'--.e ar<dt,. V^^Dr's.l YO,nnhYll+ Prred Ra•+e m Sen. O"-Mr"i .a,.,.,nw.n F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAI APPLY Nathan W.Kelle Leanne M.Kelle Buyer I-Name as appears on conveyance document Buyer 2-Nome as appears on conveyance document 3701 Waggoner Ave. 3701 Waggoner Ave. Address(Number and Street) Address(Number and Street) Evansville,IN 47714- Evansville,IN 47714- 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 MAY 2 1 9014 © ❑ 1.Will this property be the buyer's primary © ❑ 3. Homestead L 7 residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/C ing•S m residence.including county: ❑ © 5.Wind Power De f soN COUNTY AUDITOR 7906 S.WILLOWBROOK CT. Address(,Number and Street) ❑ ❑ 6. Hydroelectric Power Device Owensville,IN 47665 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ ❑ 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 9G.... i a-a l- a oo-eoy. ' 39 -0321 City.State ZIP Code County Primary property owner contact name E-mail