Homestead_Arnett (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER .
J.Robert Kinkle Attorney
Pamperer of the Sakr DUdmure Form title
219 N. Hart St..P.Q.Box 13 Paitenhelmer.Kinkle&Ricker
Address(Number end knee) Compaey
Princeton.IN 47870 812388.0050 rrtdkenghok-law,com
CIO'State,and ZIP Code Telephone Number E-ma11
• E.SELLER(S)/GRA'NTOR(S),. .':i::::.,:?'.;. .. ..:.::SL - ' ' - -.Y .:' ,..a.":-•:.1,:::;',.,:"•: - . . . ... . . 1.
Kelly J Reicher Taylor &k/a Kelly J Chrismen T4
Setter I-Name m appearron mme anadoarment Setler2•Name mop orgpro���a
4103 Meadtwehmok Rhid vt B
Add=(Number and Saat) Addrm(Number andl Street)
University Heights Ohba 44118 nc r 1 1 2017
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the b- : - y t r. •tTh'eAand belief,Is true,correct
and corn,lete as uLyrw/-,���yby law,and is prepared in accordance with IC 6-L1- a, Real Property Sales Disclosure Act".
l r r.4 ‘ .Vothia'YE"T.10 /*/331 r7
Noon: . Sell Signature ofSeller
Kelly J Belcher wiry n/kla Kelly J Chrieman
Printed Name;/Seller Sign Date(MM/ab/rrrn Printed Name°tether ago Oats ruw/na/rrrn
F.BUYERS)%GRANTEE(ST-APPLICATIONFO1IP(fOPERTY'1°AX.)EDUCTTONS4IbENTIFYALL IT EMS:T'HATAULP r.`'
Joshua J.Amett Charnel N.Amen
fiver 1-Name=appear:on conveyance document Boyer Z-Moment one=on amwe}antn document
508 N.Polk Street 508 N. Polk Street
Addrm(Number and Street) Addrea Maeda and Street)
Fort Branch.IN 47848 Fart Branch.IN 47848
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFYAIL OF THOSE THAT APPLY.
YES NO COMMON YES NO CONDrON
2 ❑ 1.WIII this property be the buyer's primary 2 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cooling System
residence,including county: ❑ m S.Wind Power Device
508 N Polk Street
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Fort Branch.IN 47848 Gibson ❑ El 7.Geothermal Energy Heating/Coaling Device
CIO;State ZIP Code Cou„y
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ a Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ El 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 oil counties) C
Addem(NumberardSa s) �• La ' (i5 — t 3— `f b 1 • o 0 a, '1 3_1 - r
Joshua.Arnett&Chante0 N.Amara
d0;State ZIP Code County
Primary...- . owner 0111.02C1 11121171 E-mail