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INDIANA SALES DISCLOSURE FORM SDF ID: Q6-2008-0000421 Pa e 2
D.PREPARER = ° _ _ _
KAREN HARBISON VP
FreA^rcrojMeSalr30iulosurcFOrm Title
803 E SR 58 ELBERFELD ST BANK
1Edress�Numbrrand5trertJ Campam•
BERFELD IN 47613
City, Sm�e, and21P Udc TefepMne Number E-mail
E.�SELLER S GRANTOR S . - � -� - - � � ��� � - -
RANDALL E STUNKEL CYNiHIA G STUNKEL
Se(lrr ]- A'amrat oppcnrs on ronre�vntr dacumrnt Sdier 2- Knme ns appmrs an ronveynnre document
8934 W SR 165 8934 W SR 165
AEdress (NumberanJSlree(J Address lRumbrrand Sbee[J
OWENSVILLE IN 47665 OWENSVILLE IN 47665
Ciryt Smre. anQ ZIPCoCe llry, State. anQ ZIP lode
Tele honeNumAer E-mail Tele hannVumher F-mail
Under penalties o( perjury, 1 hereby certi(y that [his Sales Disclosure, to the best of my knowledge and helief, is true, correct
and complete as required by law, and is prepared in accordance ���th IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
S�gnaNre uf5elfer Signamrc o/Shcer
RANDALL E STUNKEL 11/21/2008 CYN7HIA G S1i1NKEL
PrintedNameo Sefkr Si nDotel.vA/DD/1 PrintedNameo Sel(er Si IIDO•P(Y.N➢D/1'Y1
F.BUYERS GRANTEES -APPL(CdTIONFORPROPERTYTAXDEDUCTIONS-IDENTIFYALL�ITEMSTHATAPPLY�� "- �
JOSEPH P SCHEILER AMBER L STUNKEL
Auyer I- h'ame as oppears m mnrtyvnte drcummt Buyer 2- Name as oppears on convqvnce docvmmt
5891 S SR 165 5891 5 SR 165
Addrcss (Num6erand Strn[) Address (A'uniberandStrretJ
OWENSVILLE [N 47665 OWENSVILLE IN 47665
Ciq:Stam. and ZI➢CoAe Ciry, Smre. and ZIPCoCe
'e/e hone:JUm6rr E-maif iefe honeNUmber E�mail
TNE SALE$ DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN OEDUCTIONS FOR THIS PROPERTY. IDE�TIi}' ALL OF TNOSE THAT APPLY.
YES COY01TI01 YES CONDITIOti
:dl 1. bVill this property be the buyer's primap� ��!� 3. Homestead
residence? Provide comple[e address of primary j � 4. Solar Energy Heatlng/Cooling System
residence, induding coung�:
5891 S SR 165 ❑ 5. Wind Power Device
Addrcv(A'umberand5trtrt) j� 6. Hydroelectric Power Device
OWENSV[LLE W 47665 Gibson County � 7. Gcothermal Energy Heating/Cooling Device
Ciry,SrmeZlPCade c°°°`-� I I g. Is [his property a residenrial rental property?
L� 2. Does the bu}'er have a homestead in Indiana to be
vacated for this residence? If yes, provide 9. Would vou like to receive tax statements for this
complete address of residence being vacated, properry via e-maii? (Provide contact information
induding county: 6elow. Please see instruc[ions for more information.
Not availa6/e in alf counties.)
Addrcss (Numh•randStrce[f
a6-i�-oq- io�� 000.5�$-�a
Ciry. Smtr ZIPCode Caunp•
Pomap• pmperty owner ron:atl name f�moil
Under penalties o(perjury, i hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is t�ve, correc[
and complete as required by law, and is prepared in accordance «�th IC 6-1.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Uriver's License/O[her numbers are not necessary if no Homestead Deduction is
being filed.)
Signamm of Ruycri SlgnaNrc ofByerd/Spouse
JOSEPH P SCHELLER 11/21/2008 AMBER L S1l1NKEL
AintMLepalNnmeoJlhp�eri 51(Jn00[¢(N.N/�D/IYYI) Print�LegnlNamea/NUrer2/Spouse SignOa(e(kH/OD/Iri5)
Last 5 AigiuoJ Buver f Oriver's Smre Last i Diyits o/Sacial5etnriry Number Las[ 5 dir�i6 of8u}'er7/Spause Driver's Slnre Lasl S Oigi6 o�5ocinl5ecuriry
License/iD/Other Num6er' Rumber License/ID/OtherNumber
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