Homestead_Montgomery (12) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
'XL PREPARE R( ' . —i_ 77.1 7.7T -? tr — ' - ` •_— -
J. Robert Kinkle Attorney
Preparer of the Soles Disclosure Farm Title
219 N. Hart Street. PO Box 13 Partenheimer. Kinkle& Ricker
Address(Number and Street) Company
Princeton, IN 47670 I 812-386-0050 jrkinkle(dhok-la'i.rom
City,State and ZIP Code I Telephone Number E-mail
__-•_ _ - - __�_ -
M& S Properties and Contractors I LC
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
PO Box 43
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
E-mail Telephone Number E-mail
Under penalties of a er-ury, I hereby certify that this Sales Disclosure,to the best of my knowledge and helief,is true,correct
and c`• plet•. equired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Steve Fithian Managing Member 3/12/2019
Printed Name of Seller Sian Date(MM/DU/YYYY) Printed Name of Seller Sign Date PIN/DO/YYYYI
..BUY,ER(S)'/GRA\TEE(S)I APPL'ICt1TI0NiF,QRtPROP,ERTY TAX:DEDUCTIONcSDENTIF$_ALL ITEMSiTHAT-APPLY`
Joseph F. Montgomery
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
816 S. Gibson Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS Pt•'-- '. IDENTIFY• OSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary q N. •. • - _ - •, ng/Cooling System
residence,including county: -e
1014 N Hart Street ❑ FA S.Wind Power Device
Address(Number and Street) ❑ wi 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
❑ l712.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 ❑ 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) Joseph F.Montgomery a4-0-De,"304 Z• -02,P3
City,State ZIP Code County
Primary property owner contact name E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct