Homestead_Newlin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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D.PREPARER
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Tide
219 N. Hart Street Partenheimer, Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 irkinkleehpk-law.com
City,State,and ZIP Code Telephone Number
E-mail
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B.SELLERS)/GRANTER(S) - •
Marie Burns
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6465 E 350 S
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as req red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
—w1 (AZ-12
tLA4s'
Signature of Seller Signature of Seller
Marie Burns 04/ (72017
Printed Name ofSeller Sign Date(MA4/Da/YYYPI Printed Name of Seller Sign Date fMM/DD/VriYl
F.BUYF,Jt(S)/GRANTEE(S)-=APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS 7 T P �hY •
Danny W. Newlin Aleah A. Newlin gY'1
-Buyer I NaMeas appears on conveyance document Buyer 2"Name as appears on conveyance document
65E350S 6465E350S APR 1-8 2[1.1)
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649 Francisco, IN 47649
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NO COND
0 ❑ 1.Will this property be the buyer's primary C Q ❑ 3.Homestead
residence? Provide complete address of primary rgy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ IN 6.Hydroelectric Power Device
City,State ZIP Code County ❑ 13 7.Geothermal Energy Heating/Cooling Device
❑ p 2.Does the buyer have a homestead in Indiana to be ❑ Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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)
Gibson 044 /3 -3/- ;00 - 0 0 0. Oa a -bay
City State ZIP Code County
Primary property owner contact name E-mail