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Homestead_Bennett (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 "D"RREP.ARER 3°_ J. Robert Kinkle Attorney Preparer of the Sales Disclosure form Title 219 N Hart St Hall. Partenheimer 8 Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 jrkinklet hok-law.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)%GRANTOR(S)' _ -b t ti ,fi r v r' `'•_ 1 4 a l Thadens Smith Rryna Smith f/k/a Bryna Bennett Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 307 N 5th Ave 307 N 5th Ave 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 T• h IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature tiler Thadeus Smith 7- 2.2 . /5 Rrvna Smith f/k/a Bryna Bennett 7- 29 -1.5 Printed Name of Seller Sian Date(MM/OD/YYI'Y) Printed Name of Seller Sian Date MM/DD/YI]T'( r•BUYER(S)/GRANTEE(SI APPL'ICATION'FORPROPERTA TAXi DEDUCTIONSEIDENTIF,YALLITEMSTHATAPPLY i:�•�-` : _ ' �" Christina Kay Bennett Buyer 1'Name as appears on conveyance document Buyer 2-Name as appears on ro fjanr do.,ment 99® s 2130 Vine Ct#2 - / _ Address(Number and Street) Address(Number and Street) Princeton, IN 47670 8 I r ' • THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY AL 8C1E1 I , *LINTY AUDITOR YES NO CONDITION 1 YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary (71 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ Q 307 N 5th Ave 5.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Q 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 ❑ ❑ 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.) Address(Number and Street) f�� �- 1-12- ;r - D01. 053-0R? City,State ZIP Code County Primary property owner contact name E-mail