Homestead_Greene (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Roman Ricker Attorney
•
Preparer of the Sales Disclosure Form Title
219 N. Hart St.,PO Box 13 Hall, Partenheimer&Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050
City,State,and ZIP Code Telephone Number E-mail
1E:SEELER(S)y6RANTOR(S)I1. 7.7L -"---1 -..--"Fn21,;ilL.72-1:41.k.TN;'N:7177 -7-:7:-., --,--.4.-7(7-- - 7.--7771.•;77,1 1 17-C::::
Michael Hale
Seller I'Name as appears on conveyance document Seller 2-Name as appears on conveyance document
505 N Brownlee Avenue
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a
7
ap-
co le as ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Michael Hale 03/ d/ /2016
Printed Name of Seller Sian Date(P.eM/DO/MY) Printed Name of Seller Sian Date(MOe/DOIMT)
LY:BuYER(8)7G-RANWEE(S),.i:OTTICATIOR arOTITITROP,ERTIYLTA*DED.U.C^TIONSEIDENTIETEIVISITH-AlicP,P11`6-6.7---Tr.---• ' r•— T
Jacob S. Greene I
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
323 E. Oak St.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 ti
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY 6{./1.OF THOS THAT ARFVf. .
YES NO CONDITION YES NO CONDIT149 le t'eelier
Ei 0 1.Will this property be the buyer's primary 0 9 3.Homestele
04/
residence? Provide complete address of primary 9 WI 4.Solar Energy Helf.tVel* '•:System •
residence,including county:
0 IS S.Wind Power Device 44/0
505 N. Brownlee Ave. It
Address(Number and Street) 9 g 6.Hydroelectric Power Devid24
Princeton. IN 47670 Gibson 9 Z 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
9 Z 8.1s this property a residential rental property?
0 Z 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 171 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.
Not available in all counties.)
Address(Number and Street) 2 4;--/07 -07/0 / oo 3 6o 3 oa ci
Jacob S.Greene
City,State ZIP Code County
Primary property owner contact name E-mail