Homestead_Martin (12) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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J. Robert Kinkle Attorney
Preparer of the Soles Disclosure Form Tide
219 N. Hart St., P.O. Box 13 Partenheimer,Kinkle&Ricker
Address(Number and Street) Company
Princeton, IN 47670 812-386-0050 Irkinkle(@hnk-law.com
City,State,and ZIP Code Telephone Number E-mail
IEiSEEBER(S)'/,GRAN;T,O FT-7'—; -- - --- - 7--",-.7'-_--I.,- 7 -,_- - T - : -71
David Harvey Shannon Harvey
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7837 S 45 E 7837 S 45 E
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
d comp!• • as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property S`Lal�gs Disclosure Act".
Signature of Seller atur fSeller
David Harvey 11/14/2017 Shannon Harvey \ 1 /14/2017
Printed Name of Seller Stan Date(MM/DD/MY) Printed Name of Seller Sign Dote(MM/DO/YYYY)
IF BUYER(S)T/-GRAN:IEE(S)EAP,PLICAT10NOWLRORERTY_TAXy DEQUCTIONS IDE NJ!FYLA` EILIFFEMSATH-AT{AP,PLY °T -- --.1
Tyler Martin
Buyer I-Name as appears on conveyance document Buyer?-Name as appears on conveyance docurm
2151 EWarrenton Rd. ED
Address(
Address(Number and Street) Address(Number and Street)
-
THESALESDISCLOSUREFORMMAYBEUSEDTOAPPLYFORCERTAINDEDUCTIONSFORTHISPROPERTY. IDENTIFY ALL OF THOSE p
YES NO CONDITION I YES NO CONDITION LNryAVOlro
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead R
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:
7837 S 45 E. ❑ IN 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
_Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
IN
❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ B. 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.
/
Not available in all counties.
Address(Number and Street) Z•6)- /9 9- d �
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Tyler Martin
City,State ZIP Code County
Primary property owner contact name E-mail