HomeMy WebLinkAboutHomestead_Kenworthy (2) INDIANA SALES DISCLOSURE FORM SDF ID:
Page 2
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J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Hall. Partenheimer& Kinkle
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehpk-law.com
City,State,and ZIP Code Telephone Number
E-mail
' SELLER(S)'(.GRA\TOR(S)O_"ry" --- r—. —_— - — -c-a-c-.9
Jaqueline Lawrence yyn
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
435 5 180 E
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
• t d complete as re ed by law,a` is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
I lieu/ ()Min NY((//yyl
as of Seller Signature of Seller
,ueline Lawrence rye 05/26/2016
Printed Name ofSeller Sian Date IMM(DD/YYY11 Printed Name of Seller Sian Date IMM/OD/YYY1')
OKBUYER(S)/GRAN TEE(S)j;AP,PHemaONiEORT,,ROP,ERTY0TAk.DEDUCTIONS'i11DEN,TIEYgLL:iREMS;THATr<AR LYI 1:1"-'7,71—"T-7-__1
Rebecca J. Kenworthy
Buyer .-Tenth Street freers on conveyance document BuyerI-Name as rs anconveyance document
132 N. Tenth Street .®eT Illg J�f>•f
Address(Number and Street) Address(Number a &re
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. !DENT! APPLY.
YES NO CONDITION YEN NO GIBJPJFJ9HOUNTY AUDITOR
p ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ F 4.Solar Energy Heating/Cooling System
residence,including county:
❑ IN 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
City, mte ZIP Code County ❑ 4 7.Geothermal - gy Heatin_/' holing Device
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is thisproperty . i WI re cal property?
vacated for this residence? If yes,provide ❑ ❑ 9.Wo yo, '- , to r •ive tax statements for this
complete address of residence being vacated, pro er it ail?(Provide contact information
beloi lease see instructions for more information.
including county: f f
//Jr �J Qoc, c,SJ- Not available in all counties.)
Addre Number and Street) // 7470
et/ , y Gibson ZLe_ ,/ -,a .a03 ca / 0& ORR
City,State ZIP Code County
Primary property ownercontact name E-mail