Homestead_White (11) ....
INDIANA SALES DISCLOSURE FORM SEW ID: Page 2
;WM ET:flit:WE I.2.-V3/4„.= .,,. - a.77-7
. el n\b....er 9)01ft-re, Closer
Preparer al the>aim disclosure Form Title
409 Main Street Total Title Services. LLC
Address(Number and Street) Company
Vincennes. Indiana 47591 812-895-1521 lharperetotakitle.com
City.State.and ZIPCode Telephone Number E-mail
-EnELTEET-1017.6-117—ANIFOR(S ib-C4M;;ZSI-5 7:Lt.*?
James Newton Tamberly Newton
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
A265- ileiti_K /11/c /,2 oi- lic.e.g Svc
Address(Number and Street) Address(Number and Street)
e/V
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
111 .
-,... ' da/pi€,Z.,0
•gnature of Seller Signature of Seller 64
Jame S Newton :174,14 rl:5 .0a-cliati 3- '1 -ie Tambe y Newton A nt Zt,e/y/lia,4A) J-V--/0
Printed Name of Seller Sian Date 114.4/DOMIT) Printed Name ofSeller Sian Date f.W.4/00/YITY1
',TE;13-11,YER(SVGITANTEE(SJETAPAIGATIZICIM,0818ROPEill7YrilTAIDED.U0111O-NYth'IDEKIEYWITLilfflElv:I-S1THATTAMT-garng.„-2
Catherine J. Kitchin Stephen C.White
Buyer]-Name as appears on conveyance document Buyer 2-"... -• appears on conveyance document .
kl i Da ‘.\. tri.F..) EOC`Net-
-,4tidosss(Number and Street) Address Wumbe •-•
3S2Ck nC2.-3/4-1>n
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE ,
YES NO CONDITION I YES NO CONDITION
Ve D 1.Will this property be the buyer's primary V D 3.Homestead
residence? Provide complete address of primary D V 4.Solar Energy HeatiMgyfp2Ii8gAni3em
residence,including county:
1 li/)\ ‘•\ • _1 c ‘10-51- 0 V 5.Wind Power Device
44ress(Number and Street) D El" 6.Hydroelectric Pow:, Devicr,
;:.)- Arttp\ nt- Lk-1 bil0 /4, ---iiniffg.
1_1 El; 7.Geothermdifig2, it ea 3
WI •• no Device
City ate ZIP Code County • ' U o r Y AU TOR
D g 8.Is this property a residentia rental property?
D 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide 0 2"... 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.
361 E Ginge,t) (Tic-/e ,, Not available in all counties.)
Addy=(Number and Street) .
1-6neetbles al ocf759/ alp- L;-c13-400- coi. 3tyg-a?1
City,State ZIP Code County
Primary property owner contact name E-mail