Homestead_Horrell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J.Robert Kinkle Attorney
Prepa rer of the Soles Disclosure Form Title
219 N.Hart St.,PO Box 13 Hall, Partenheimer 8 Kinkle
Address(Number and Street) Company
Princeton,IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
E4SELBER(Si/GRANTOR(Sfl _Tf 711:77- _ -.a <'-74::'s . 1C? sF : _r : --
Kimberly,In Smith
Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2089 N SR 65
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under I enalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
•co pl e a re u /e��d{yJ I L nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".r /Atfilo
Si. a are of Seller Signature of Seller •
Kimb-dy Jn Smith 01/ /2016
Printed Name of Seller Sign Date(MM/DD/YY17) Printed Name of Seller Sian Date(MM/DD/YYn)
,Fi;BUYER[S)/GRANTEE(S)ziAPPI`ICATIONiF.OR%P.ROPERTY-,TAX<DEDUCTIONSIDENTIFYjAII.�ITEMS!THATAP.PLYL- __ _
John W.Horrell Constance L. Horrell
BuyerI-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document r�
603 N.Cove Court 603 N. Cove Court
Add QpQ�J-��
Address(Number and5treet) pddres s(NUmberand Street)
Decatur, IL 62521 Decatur. IL 62521
YES NO CONDITION I YES NO CONDITION _V Coo .. V
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead Nt'.qIc,:""'�
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Coolingam
residence,including county: o
7089 N SR 65 ❑ Fl 5.Wind Power Device rQ
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ 0 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 ❑ 0 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.
J/
� Not available in all counties.) /7
Address(Number and Street) ■ Q5,502_/ore_ 00/ 9,?9-oat'- /
- John W.&Constance L.Horrel
City,State ZIP Code County
Primary property owner contact name E-mail