Homestead_Ankenbrand (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N Hart St Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinklet@holt-law.com
004 State,and ZIP Code Telephone Number E-mail
•E.SELLEKS)/GraNTOR(Slii i....1:7-*,--13-4.4-,1:,, -k-lii-r2-I-:-..:,•...:-"c -- !-_ -•:...S:- ::".5-.7"..-.-:rr"7- _;"_"' ,2;t1A-:_t•; - r•-il.itn-;
Jason N Bolton Cheryl I Bolton
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
805 Creek Dr 805 Creek Dr
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort Branch IN 47648
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 requir by aw,and is prepared in accordance with IC 6-1.1-5.5,"R al Property les Disclosure Act".
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Siggre of Seller
as&N Bolton
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ofseler "7/ as/
Cheryl L Bolton /
Printed Name of Seller Sign Date(MWDDIMI1 Printed Name of Seller 4
Ertym/DD/YYYY)
:F.BU.YERISIZGRANTEE(51--;:APPLICATIONIFORPROPERTY,TAX:DEDUCTIONS?IrIENTIErALLTI fi s 7 .Ap ..:, c.---m---,-‘1%,.e.
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George J.Ankenbrand Brenda S.Ankenbrand
Buyer I-Name as appears on conveyance document Buyer 2'Name as appears on conveyance document
4810 W State Road 64 4810 W State Road 64 JAN 16 21315
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
YES NO CONDITION I '0 CONDITION
2 D 1.Will this property be the buyer's primary 0 0 3.Homeste..
residence? Provide complete address of primary 5 fl 4.Solar Energy Heating/Cooling System
residence,including county:
0 n S.Wind Power Device
Address(Number and Street) D 2 6.Hydroelectric Power Device
0 2 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
D [51 8.Is this property a residential rental property?
g 111 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 17 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.
6-----: 35. _WP zr Not available in all counties.)
Address(Num(4r and Street) t--
Er . 6 n PWC-1"1 A' if 2 61facf....-- 2p--1 9-is-to /-cot IX) -DAD
I
Cary.,State ZIP Code County
Primary property owner contact name 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 acct dance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Note:
Spouse information,Social Security and I river's Lice-se/Other numbers are not necessary if no Homestead Deduction is
being fil-a
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