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Homestead_Conrey (2)
INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2 J. Robert Kinkle _ Attorney Preparer of the Soles Disclosure Form Title 219 N Hart St Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle(&hpk-law.com City.State.and ZIP Code Telephone Number E-mail E.SELCER(5)/GRANTOR(S)-.- _ _. - - --- . .. Kerry D I eukhardt Nang F I eukhardt Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 12501 S Owensville Rd 12501 S Owensville Rd Address(Number and Street) Address(Number and Street) 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 accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". t(• 1. .�,A�I.1dd ?CfAn Al �za,th erg df" Signature Seller /I SignanfrafSeller 0 Kerry D Leukhardt T�, r!/C Nancy E Leukhardt T a i IS Printed Name o Seller a6dd6 Date fMM/oa(YYYY) Printed Name of Seller Sign Date fMM/oa/YYYY) F.BUYER(S)/GRANTEE(S)_-APPLICATION FOR PROPERTY TAX DEDUCTIONS=-IDENTIFY ALL ITEMS THAT AP Mt__ __ _ . Casey L. Conrev Amanda S.Conrey Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 210 N Campbell Blvd 210 N Campbell Blvd - Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 Haubstadt, IN 47639 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 ., ONDITION ❑ 1.Will this property be the buyer's primary , IZI ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including co • ❑ 12501 S Owensville Rd S.Wind Power Device Address(Number and Street) / ❑ Q 6. Hydroelectric Power Device Haubstadt, IN 47639 I son ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code IIII II'' County 0 El 2.Does the buyer have a homeg4Vd i2l9d I5to be ❑ IN 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to receive tax statements for this complete address of residence eina v c property via e-mail?(Provide contact information including county: _ below. Please see instructions for more information. 210 N Campbell Blvd GIBSON COUNTY AUDITOR Not available in all counties.) Address(Number and Street) Haubstadt, IN 47639 Gibson airy-as-/67 -tgoo-octo. o3'/o-V City,State ZIP Code County Primary property owner contact name E-mail INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - - - •� - - J. Robert Kinkle Attorney Preparer of the Sales Disclosure Form Title 219 N. Hart Street Hall, Partenheimer& Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 irkinkle @hpk-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) -_ . . . - - .. •_ - Edward A. Mason Donna Mason Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 7101 S 450 W 7101 S 450 W Address(Number and Street) Address(Number and Street) Owensville, IN 47665 Owensville, IN 47665 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 accordance with IC 6.1,1"-5.5,"Real lPPro(ppeer1ty ySales)1Disclosure Act". Signature of Seller �� ` _ ,� Signature of Seller C;� V—_- / Edward A. Mason £A.]J�.At* a. meat a„, g-/Q— /4, Donna Mason Printed Name ofSeller Sign Dote(MM/DD/YYIY) Printed Name of Seller te1400Do/YYYYI F.BUYERIS) GRANTEE(S)-APPLICATION FOR PROPERTY TAX'DEDUCTIONS-IDENTIFY ALL ITEMSSAIILY ) ("Casey L. Convey Amanda S. Conrey JJJJYYLLLL 444444 B„r..,i- ame appears on conveyance document Buyer 2-Name as appears on conveyance document G 2 2 2016 12501 S. Owensville Road 12501 S. Owensville Road Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 Haubstadt, IN 47639 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO /CONDITION y NO rn.•o•-• 17- W 1.Will this property be the buyer's primary Yr FS i'_ 3. Homestead residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System residence,including county: ❑ p S.Wind Power Device Address(Number and Street) ❑ IN 6.Hydroelectric Power Device ❑ p 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 12 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ ❑ 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. Not available in all counties.) A res (Number and Stet) D�W I (� it4 r Gibson o16 - e24 _/5- Soo -0 00, bet -0)Cr City,State ZIP Code County Primary property owner contact name E-mail