Homestead_Kruse (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DANIEL A MOON ATTORNEY
Preparer of the Sala Disclosure Form Title
116 S. MAIN ST. REEVES.COCHREN&MOON
Address(Number and Street) Company
PRINCETON IN 47670 812/385-8641
City,State,and ZIP Code Telephone Number E-mail
'E,SELL'ER(S)/GRANTOR(S)W___ _ -.7 ,
COI INTRY AYRF INC
Seller)-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7282 E WARRENTON ROAD
Address(Number and Street) Address(Number and Street)
Under enalties of perjury, hereb Frtify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co
/
letea"s r�qu•nei aw d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
vt L/l /
Signature of Seller Signature of Seller
AAVIA F GRFI IRFL President
Printed Name o(Seller Sign Date(MM/DD/1W1') Printed Name of Seller �—♦ 1,tn Date(MN/DD/YYY)
;F.BUYER(S)/GRANTEE(SIICAP,PLICATIONFOR PROPERTY TAX-DEDUCTIONS IDENTIFY A T I S 7
BETH ANN KRUSE J jjJ,laaa 2016
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conv eya
317 S. RACE ST.
Address(Number and Street) Address(Number and Street) 4 �
HAUBSTADT, IN 47639 r`^"'°
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP • IDFNnN Al TAPPLY.
YES NO CONDITION YES NO CONDMON
N ❑ 1.Will this property be the buyer's primary IN ❑ 3.Homestead
residence? Provide complete address of prim.
ii 4.Solar Energy Heating/Cooling System
residence,including county:
❑ N 5.Wind Power Device
Address(Number and Street) ❑ N 6.Hydroelectric Power Device
city State ZIP Code County is 7.Geothermal Energy Heating/Cooling Device
N ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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.
317 S. RACE ST. Not available in all counties.)
Address(Number and Street) r r� ,
HAUBSTADT, IN 47639 GIBSON a\p-a3-0(0-av o -Oco- -'t/
City,State ZIP Code County
Primary property owner contact name E-mail