Homestead_Steen-Roby INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
RI PREPladinc,- _,- - , ,-- . f"1 rA r - —. J
J. Robert Kinkle Attorney
Preparer of the Sales Disclosure Form Title
219 N. Hart St. P.O. Box 13 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
IE.SEUL'ER(S)/,GRANTOR(S)` --. I f i- -7. .• :' i. = {f•..r, ,..' :- tTlf. - ' _ *' ``. ^—
Fur.M Slone
Seller]-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12868 F 150 S
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
City,State,and ZIP Code City,State,and ZIP Code
E-mail Telephone Number E-mail
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 regpired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".f
e.
ignatu re of Seller Signature of Seller
Fric M Slone 9/7/2018
Printed NameofShcer_ Sian Date tMM/DD/YITY) Printed Name of Seller Sian Date(HM/DD/YYYY)
p- -..-- -T-�- _r �. —�-q
� UYER(S)/,GRANTEE(S li ' -P\LIGATIQNIFQR.1?ROPERTtY�Tk;Y�DED ;NS_tBf.N7l�Y\(AL'L':ITEMS:THATtAP,PLYr--^"T _ ' I
Devin Jeweldean Steen-Roby ) Alex Jame M h d� v o
•^•rrI-Nom�oaearson wnveyanced meat Buy ^'..m,..^,n"" nconveyance datum [A� i
2625 S. SR 57 -4—i —/
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Irvington, KY 40146 SEP 1 0 2018 g
y(ylr,'sf./`aAU.(L A E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI 'RO' 'TY. IDENTI ' • OSETF1'Yia611Dthl COUNTY AUDITOR
YES NO CONDITION YES NO CONDITION
1Z ❑ 1.Will this property be the buyer's primary 1Z1 ❑ 3. Homestead
residence? Provide complete address of primary
residence,including county: FA ' ' �' a ng/Cooling System
17868E 150 S ❑ 05.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ Ej 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
ID2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8. 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) 26- 14 —C? _ 400 —Oa1 . 4% -0o
Devin Jeweldean Steen-Roby
City,State ZIP Code County
Primary property owner contact name E-mail