Homestead_Sands (2)SDFID:
J. Robert Kinkle Atior
PrepvrefoftheSalaD'udosureFarm Title
279 N. Hart St. Hall. Partenheimer & Kinkle �
Addren (Number and Stree[J �mPa^Y I
Princeton IN 47670 __
I E-mail
Selfer I- Name as oppears on ronve�nnre documen!
Ot1 Lllo�4fOOlnfIVP -
Addras(Numberand5bee[J
F�rt Rranrh IN d7fiAR
Ciry. Smt4 and ZIPCode
�
Name as appears on ronvryvnce dorummt
Addras (Number ond Sveet)
Ciry, SWte, andZlPCOde
and belief, is true, correct
and complete as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disdosure Act".
�..u��l�,/ �,�, _ a� �,� 1
5(gnorvreo�Selfer 5(qnaNreo% er I
Da[e
Jacob J Sands
Buyer 1- Name as appmrs on tonveynn�e dxument
2009 East Lake Road
Address(Num6erand5tree[)
Princeton IN 47670
City, Sm[; and7lPCOde
TfIE S�1LFS OISCLOSURH FORM MAY BE USED TO APPLY FOR CERTAIS
Q ❑ i. Will this property be [he buyer's pfimar
residence? Provide complete address of
residence, induding counry:
011 RI��4fp0� �fIVP
Addrsss(Nvm6erand5veeq � -
Fort Branch IN 47648 Gibson
ciry, Smte Z1PCode Counry
� ❑ 2. Does the buyer have a homes[ead in Indiana to be
vaca[ed for this residence? If yes, provide
mmplete address of residence being vacated,
including county:
Addras (Number and SReet)
Ciry, Smte7lPCode � Gounry
ess (A'um6erand 5[reetJ
eton IN 47670
Smt4 andZlPCode
��
ALL OF TN
NO CO.�'DITIO\
0 ❑ 3. Homestea�
o � 4 c�� ��'^�� mg/Cooling
� � S. Wind Power Device
� Q 6. Hydroelectric Pawer Device
:❑ Q- 7. Geothermal Energy Heating/C
'❑ Q 8. Is [his property a residential r
�.❑ � 9. Would you like [o receive tax �
� . property via e-mail? (Provide c
below. Please see instrucdons fi
Not availa6le in all counties.)
�co-I�-� 8 -� o�-c�ol. �sg -
Jacob J. 8 Amanda M. Sands
name
g Device
property?
nen[s for [his
�C information
re information.
�
E-mail
Under penalties of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, corred
and complete as required by law, and is prepared in accordante wi[h IC 64.1-5.5, "Real Property Sales Disclosure Ad". (Note:
Spouse inform tion, Social Security and Driver's License/Other num ers are not necessary if no Homestead Deduc[ion is
bei g filed J �/J� Q� ��,,
INIIA ��/� .1pCU4`'y I
' nawrea( �erl Signamreo(Buyer2/Spouse
...i-ri ..,...� .�__._.. c....a,. t1/ I7015
Name ojBUyer 1
SjgnDate�N.H/DD/YYY1) I PAnredLegalNamea(Huyer
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