Homestead_Young •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D,P,REPARER�__ .
Steven L.Whitehead Attorney
Preparer of the Sales Disclosure Form Title
111 North Hart Street
Address(Number and Street) Company
Princeton, IN 47670 812-386-5040 whiteroc2(@gmail.com
CO;State and ZIP Code Telephone Number E-mail
Ei.Sffalt—(S)T/GRANTOR(5)F , . . - ---- - - - - — — - ` - -- -- ----------- � ` -
Charles Phillio Young Kimberly K Young
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12124E Hickory Lane 12124 F Hickory Lane
Address(Number and Street) Address(Number and Street)
Oakland
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and ^j(nm"�plleete as required by law,and is prepared in accordance wiiitt{h`IC 6-1.1-5.5,"R�al Property Sales Disclosure Act".
Signature of Seller G p / •Signature of Sale r�J. G
Charles Phillin Young GO/igf IG� Kimberly K Young 8/ !1/c,
Printed Name a(Seller Sian Dare tMM/DD/YYY11 Printed Name of Seller Sian Dote IMM/DD/1YYYI
iFL BUYER(S)/.GRAANTEE(S) AF$EICATION,FORPROP•ERTYLTAXDEDUCTIONS=;IDENTIFY;ALL`ITEMSLTHATr_APPLY'' . -----
Kevin Gene Young Robyn Lynn Young
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
11043 East 100 South 11043 East 100 South
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THPj y T
YES NO CONDITION YES NO CONDITION
T ❑ 1.Will this property be the buyer's primary o ❑ 3.Homestead pp � s 2016
residence? Provide complete address of primary ❑ TA 4.Solar Energy Heating/Coo ing System
residence,including county: ❑ Fl S.Wind Power Device ���// .
Address(Number and Street) ❑ 0 6.Hydroelectric Power 01 fIf4�J
NN COI INTY AJJDITOR
City,smteZIP Code County ❑ 0 7.Geothermal Enak eating/Coolmg Device
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ N 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.
1 Not available in all counties.)) y/�yq�//_
Address(Number and Street) f ko — 2_I3 _y)I -CO 1 lv)58 �./c-/ICJ
City,State ZIP Code County
�!'�{f\lr./ `f l v
Primary property owner contact name E-mail