Homestead_Murnahan (2)INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER 1 ^.•
Preporero/'the Soles Dis<losure Form Title "
�N. Harl St.. PO Box 13 Hall. Partenheimer & Kinkle
Jress(h'um6erandStreet)
E-mail
E.
�al .n R Kelley �
Seller 7- Name os appears on ronve��anre document
fifi7't W Whicnering Creek Drive
Addrcss (Nurn6er and 5[reet)
OwPnsville IN 47665
Ci%Smre, and ZIP Code
.
Seller 2- Name os appenrs on rom�eyonce document
Address (Num6er ond Street)
City; Smte, ond ZIP Code
Under penal[ies of perj�ry, I hereby certify [hat this Sales Disclosure, [o the best of my knowledge and belief, is [rue, correc[
and complete as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act".
l'J�C.. d_' X.2� 'f�-/�-�/
Signatureo(Seller� � Signaturea(Sellrr
- APPLICATION FOR
1 - Nomr asappears on
andZlPCodr
THE SALES DISCLOSURF. FORM MA5' BE USED TO APPLY FOR CERTAIN DE�UCf10N5 FOR THIS
✓� � 1. Will this properry be the buyer's primary
residence? Provide complete address of F
residence, induding county:
fiR�4 W Whic�2_.r�ing C:rPak Drive
dddres (Number a�d Street)
Owensville IN 47665 Gibson
Ciry.SWte ZIP fnde Caunry•
� ✓� 2. Does the buyer have a homesread in indiana to be
vacared fm this residence? If yes, provide
complete address of residence being vacated,
induding county:
Addre.a (Num6er o� Slreet)
Ciry. 5m[e ZIP Code Counry
Buver 2� Nonie as appears on ronveyance davment
Address (Number and StreetJ
Cin•, Smte, and ZIP Code
Telephone Nnmber
PROPERT" �nru'nrve�� OFTHOSETHATAPPLY.
Q � 3. Homestead
❑ �
❑ �
❑ �
4 Sol_ a��+�ating/Cooling System
S. Wind Power Device
6. Hydraelectric Power Device
7. Geo[hermal Ener� Heating/Cooling Device
8. Is this property a residen[ial rental property?
� ✓� 9. Would you like to receive tae sta[ements for this
property via e-mail? (Provide contact informatron
belo�v. Please see instructions jor more informntion.
Not avnilable in all counties.J
o?G -/� O/-/�/- 000.�93 _ o�-/
Richard P. Mumahan, 11
mnma[name
E-moil
Under penalties of perjury, l hereby certify tha[ 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 wi[h IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Drivers License/Other numbers are not necessary if no Homestead Deducdon is
being file . �`'v�-�
�aNre n/Bm�er] Signo[ure o(Buper7/Spoure .
R'rh>rrV P Murn�han I� �( ��-�1 `��
Pnnted Legal Name of Buyzr 1 Sign Dafe (MM/oD/i9'r'1)
Last 5 digiGS of Buyer ] Onver's Smte Last 5 Digi[s af5ocial5ecurih� Num6er
License/ID/Other Num6er
Pnnted Legal Namea(By�er2/Spouse
LastSdigitsoJBuyerZ/SpouseDriver's Smte
Number License/ID/OCherA'um6er
Sign Dofe (MM/DD/fYYYj
Last 5 Digi6 afSocial Securiry