Homestead_Bennett (4)INDIANA SALES DISCLOSORE FORM SDF ID: Pa e 2
D.PREPARER �' � " �.. . ._ -- �- �.-- � '. , -. - . ..- - - . � ..__
---- - ----�= - --`------ � — ` � - ---- -- � ---._.' _._-- -- --- - " -` _
J. Robert Kinkle Attorney �
Preparer o/rhe Sa/rs USdomre Form Title I
219 N Hart St HaIL Partenheimer & Kinkle
Addrea(D'um6eiand5tree[J �ompany I
Princeton. IN 47670
I E-mail
E: SEL6ER S GRANTOR S ' : .'.` ' '' ' - � _ - -� -. ' . - . ` �` ,
Charintte A Connor �
Sefie�]�Namevsappearsonconvryoncedocumene Selfer2-Nameasoppearsonronveyvnttdacument I
711 N 3rd Ave.
Address (NUmber andSVeetJ Addres (A'umhe� and 5[ree[J I
_Princeton.IN 47670
E-mvil iele haneNUmber � E�mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is�[rue, correct
and complete as required by law, and is prepared in acco dance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
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Sigmmreo(SeUtr / '�T�/� Signa[vreafSeller
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PnntedNameo Selfer Sio�DateWn nU/YYYYI Pnn:edNnmeo Seller SianDate MM/DO/Ym'1
�F.�BOYERS GRANTEES.-APPLICATION�.FOR�PROPERTY:TAXDEDUCTIONS=•IDENT[FYALLI � T APPLX�'�_�
Marihew D.Bennett �
Buyerl �Nameasappearsomm�veyancedocument Buyer2-Nameasappearsomm�veyanc docume v �
337 W 2nd Street �� �
Addres(,YUmberand5treetJ Address(b'umberand5treetJ � �
Mi. Carmel. IL 62863 r'/ l �
Ciry,SmtqandZlPCOde Liry,Smte,ondZlPCode �N I
CQ
ielenhaneNum6er E-mail Tele honeNumber � E-mail
TNESALFSDISCLOSIIREFORMMAYBEUSEDTOAPPLVFORCERTAINDEDUCfIOYSfORTHISPROPERTY.lOENTINALLOFTt10SETHAT ' I
YFS NO CONDITIO\ I YFS NO CO\DITIOY 'TO
0 ❑ 1. 6Vill this property be the buyer's primary � ❑ 3. Homestead �x�
residence? Provide comple[e address of primary � � 4. Solar Energy Heatlng/Cooling System \
residence, including county: I \y
111 N Third Ave ❑ 0✓ 5. Wind Power Device �
Addrea(Numberand5veetJ ❑ Q 6. Hydroelec[ric Po�ver Device
Princeton IN 47670 Gibson � 0 7. Geothermal Energy Heating/Coohng Device
Ciry, Sruu ZIPCode Lounry I
❑ 0 2. Does [he buyer have a homestead in Indiana to be � � 8. Is [his property a residen[ial rentai property?
vacated for this residence? If yes, provide ❑ ❑ 9• Would you like [o receive [ax sta[ements for this
complete address of residence being vacated, property via e-mail? (Provide contact in%rmotion
including county: below. Please see instructions for m i re information.
Not availa6le in all counties.)
Addrecs(VUmberandStreeQ �/ — I 1�' ^1 � I D^1 � i. g 3 y o a
(9 oC \J
Ciry, Smre ZIPCode Counry
Pnmarypropertyownermnmaname ' H-mail
Under penalties of perjury, I hereby cer[ify [ha[ [his 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 6-1.1-S.S, "Real Property Sales Disdosure Ac[". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homestead Deduction is
being filed.) . I
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Signomre of Buyerl /J Sigmmre of Buyer2/Spouse
AAaNhow fl RannPH /Q/��/l�
LastSdigi¢ofBuyer2/SpouseDriver's Smte LaslSDi��iuo(Saciaf5ecuriry
License/ID/O[herNumber A'um6er Lirense/ID/O[herNUmber