Homestead_Sexton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER -
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services.LLC
Address(Number and Street) Company
Evansville,IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
-
Sander M Kinsall Elk I Kinsall
Seller I-Name as appears on conveyance document Seller 2.Name as appears on conveyance document
5305 N 200 W 5305 N 200 W
Address(Number and Street) Address(Number and Street)
certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".AC" r �
ig attire of Selle Signature of Seller
Sander M Kinsall 12/19/2014 Elis I.Kinsall 1 014
Printed Name of Seller Sign Date(MM/DO/YYYI•) Printed Name of Seller I(pn/lat M D/YYYV/
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM TH} PI(Y r If l
meson D. Sexton) Alisha L.Lowry (`
it even numeasappears on conveyance document Buyer 2-Nome as appears on conveyance docum€JiEC 16 2014
10072 S SR 61 10072 S SR 61 v
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland City IN 47660
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
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary gy Heating/Cooling System
residence,including county: ❑
5305 N 200 W 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Patoka. IN 47666 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 ❑ 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 ❑ IN 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.
10072SSR61
Address(Number and Street) O
Oakland City, IN 47660 Gibson .24 - O Y-f/ - 3oo -000, p 4 -oii
City,State ZIP Code County
. .. - ., ercontott name E-mail