Homestead_Coonfield INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
;:13.:P.REPARER' - • cg:r .C7 .7 „-•-",' • =77 7.2_77- •j" ,
J.Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
P.O. Box 13,219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehok-law.com
City,State.and ZIP Code Telephone Number E-mail
SELEER(SY/GFIANTOR(SILL.-= e"..71rilittniai: - •cczirrarr:cz2
Eagle Limited Liability Company
Seller I Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9653 E 450 S
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
Under penalties of per'ury,I hereby certify that this Sales Disclosure,to the best of my knowledge is true,correct
and etts..- e s'•fred by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property S is osupictl)
r"-• •
Sign ure of Seller Signature of Seller
Rick Falls Managing Member 03/ 67-3 /2017 MAR 27 2017
Printed Name of Seller Sian Date(1414/01)/MT) Printed Name of Seller Sian Date(MODD/M7)
,F.-.13UYEk(S)ZGRANTPEE(S)ISAPPLICATIONIEOPROPERTNCPAX<DEDHC-TIONSIOENTIFLY{API:IITEMSiTHAVI-' Lett_
Charles Coonfield Sandra M.Coonfield
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance dogagON COUNTY AUDI•UK
11223 Courtois Road
Address(Number and Street) Address(Number and Street)
Steelville,MO 65565
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
g 9 1.Will this property be the buyer's primary g 9 3.Homestead
residence? Provide complete address of primary 9 g 4.Solar Energy Heating/Cooling System
residence,including county:
Li IN 5.Wind Power Device
794 S 1225E
Address(Number and Street) IA 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson 9 El 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
9 Z 2.Does the buyer have a homestead in Indiana to be g 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 9 g 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(A'umber and Street) a Carl 4-a -02 bq-662) a(9
Charles&Sandra M.Coonfield
City.State ZIP Code County
Primary property owner contact name E-mail