Homestead_GriessINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D.PREPARER
J. Robert Kinkle Attomev
�Preparer o([heSola Dlsdasure Fomi Title
279 N. Hart St.. PO Box 73 Hall. Partenheimer & Kinkle
Addrms (A'um6erand Stree1J Company
Princeton.IN 47670
E-mail
E. SELLER S GRANTOR S
Rus�eI1L Stenhenson Randy G Stenhenson
Seller 1- A'ome m oppmrs on cmvepanm docvmen[ Seller 2� Name os oppmrs on romrym<e dxumen<
5108 S 525 W 5108 S 525 W.
Addrecs (Number and Sveet) Addras (,VVmber andSheetJ '
Ow .ncvillP IN 47665 (hvensville. IN 47RR5
Liry, State. and 21P Code Ciry, Smte, ond ZIPCode
Email
Under penal[ies of perjury, 1 hereby certify [ha[ this Sales Disclosure, to the best of my knowledge and belief, is [rue, correc[
and c fp e as r l d is prepared in accordance w�Lh�E-�i 11-S.S, "Real Property Sales Disclosure Act".
^ � n�>�.� � ,
SignaNreof5eller �q/ Signa reoJSeller
Rnccell I Stanhenson C,L1�0/� Randy C Steo enson r������i/�
RinledNameo Seller Si n le A.u/DO/YY1 Ain[ed,Yomeo(Seller Si nDate NII/�D
F. BUYER S GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTfONS- IDENTIFY ALL ITEMS THAT APPLY
Gunnar P. Gness
Buyer 1- Name as ap➢ears on ronvryanm doavment Buyer 2-,VOme as apprors on mmrymce documen[
6712 W. 400 $.
Addras (Nvmber and Smeetf Addras (Nvmber ond SbeetJ
Owensville IN 47665
� Ciry. Sma. ond ZIPCode Ciry.Smte, ond ZI➢CWe
E�mail Tele hmeNum6er E-mail
TNH SALFS OISCLOSURH FORM M1fAS gE USED TO APPLY FOR CERTAIY OEDURIO\5 FOR THIS PROPERTY. IDEYTIFY ALL OF TNOSE THAT APPLY.
YES FO COROITIOY I �FS ti0 CO\'�ITIO\
Q � 1. Will this property be the buyer's primary ❑J ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Hea[ing/Cooling System
residence, induding county:
5708 R 525 W ❑ ❑✓ 5. Wind Power Device
Addra's(Nvmberand5vre[f ❑ ❑✓ 6. HydroelecMc Power Device
Owensville IN 47665 Gibson � Q 7. Geo[hermal Energy Heating/Cooling Device
Ciry, Smte ZIPCode Comry
Q � Z. Does [he buyer have a homestead in Indiana to be � 0 8� �s this proper[y a residential rental properfy?
vacated for this residence? If yes, provide ❑ � 9• Would you like [o receive [ax statements for this
comple[e address of residence being vacated, property via e-mail? (Provide contact information
induding county: 6elow. Please see ins[ructions for more information.
6772 W. 400 S. Not Cavailable in all cauntles.J
Addres(Numberand5vee[J � ����� d,_l ���/ �� �G� I
Owensville, IN 47665 Gibson �
Gunnar P. Griess
Ciry, Smte ZIPCade Caunry
PnmarypmPerrymmermn:aGnome E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance avith IC 6d.1-S.S, "Real Property Sales Disclosure Ad". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are no[ necessary if no Homestead Deduction is
being led.)
� �• �
�Nre o/ Buyert /� Signamre of Bvyer2/Spause
ii O2 -TiOI I
1 PnnhdLegalNameo(6uyerl QSignOa:e(l4Fl/DD/vYY1) VrintedLegolNameo/Bvye2/Spovse SignDale�NM/�0/1'»M1')
Las[Sdigiuo�Bu)•er]Dnver's Smre LostSDigi[so�SocialSecurityNum6er LasiSdigiGrofBuyer2/SpouteDnrer's S[ate LastSDigi6o�5ona15ecunty
Lirense/lD/O[herNumber Num6er License/lD/OtherNumber
��