Homestead_Kolhouse INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
'D.PREPARER' - -__- _ -
J. Robert Kinkle Attorney
Preporer o/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 jrkinkle(&hpk-law.com
City,State,and ZIP Code Telephone Number E-mail
.John R Kolhouse Stacey I Kolhouse
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
309 S McCreary 309 S McCreary
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort Branch IN 47648
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a. i pl1 y a as % aired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
_ fUa' l6S94.49,
nature of Seller Signature of5 .
John R. Kolhouse g-a0-IL.' Stacey L Kolhouse 9 -;_14
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sion Dote(MM/DD/YYYY)
.F.-B�1XERfSjfGRRNF , APP.LICATION.FOR P.ROPERTYTAX DEDUCTIONSr IDENTIFWALL ITEMS.THAT.APPL-Y - - )
-Payton Scott Kolhouse AA
-N t conveyance document Buyer 2-Name as appears on conveyance docume ��
339 S. Old State Road 65 ED
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THMSI'B(fY
YES NO CONDITION this roe be the buyer's primary YES NO CONDITION OO�NTy qU p'FOR.
0 ❑ property rty y p ry 0 ❑ 3. Homestead
residence? Provide complete address of prima -,a—E2.---•:9•5"1- Heating/Cooling System
residence,including county:
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y
❑ f4 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric
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Address(Number and Street)
o?G-//-D 9- Sao -GO 3. ?oV o0,27
Coy,State ZIP Code County
Primary property owner contact name E-mail