Homestead_Keller INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J. Robert 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 irkinkleehok-law.com
City State,and ZIP Code Telephone Number E-mail
-EISELGER(S)IGRANTOR(Sr Al'--..._:...-.1,:l;P: ;— •':.,--:: :;:-":1-151•':.,47-.`;-^•-.,,;-.-1...-1. ::-;:L 1 ' 71 -'; ",-.. -Li. ''' ," •,_ ,
Amy F !Ty k2-&-r3
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
921 S Hall St
Address(Number and Street) Address(Number and Street)
Princeton. IN 47670
Under p. I alties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c o. p -te as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Xgnature of -,e; • Signature of Seller
Amy E Fier tra--es 1 i 1131c2014 _ _.
Printed Name of Seller An Date(1,04/DWYM) Printed Name of Seller Sign Date(1‘04/DINVYM
;8?,ETUYER(S)7GRANTEE(S“,APPLICATIONTORAiROPERTY,TAXIDED.UCTIONS:e-2IDENTIFY ALINTEMS.THATIAP.PLY 2.-C71"71±L.F.g4q-ili
Zachary S.Keller Kimberl . Sis on I r -
- • i i
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu e , s t r
3010 E. 50 N. 3010 E. 50 N. i IS
,i.
Address(Number and Street) Address(Number and Street)
LW
Princeton, IN 47670 Princeton, IN 47670 NOV
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF Tli OSE T • *-
u Au
YES NO CONDITION I YES NO CONDITION Wry DITORL
0 0 1.Will this property be the buyer's primary M 0 3.Homestead
residence? Provide complete address of primary 0 [0 4.Solar Energy Heating/Cooling System
residence,including county:
0 INI S.Wind Power Device
Address(Number and Street) 9 l7 6. Hydroelectric Power Device
9 z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El 151 8. Is this property a residential rental property?
0 Z 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 Ikr15.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)
z I,-, a-J&-As/ oo 3 Q 7e/0 8
City,State ZIP Code County
Primary property owner contact name E-mail _